Individual provider Active NPI

Alan J Bassuener, DC

  • Chiropractor
  • Arcadia, WI
National Provider Identifier
1972605731
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3983012 Issued in WI
Practice address
308 St Joseph Ave Suite 2
Arcadia, WI 54612
Phone
(608) 323-8563
Fax
(608) 323-8405
NPI assigned
Sep 2, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3983012 WI Primary

Addresses

Primary practice location

308 St Joseph Ave Suite 2
Arcadia, WI 54612

Mailing address

308 St Joseph Ave Suite 2
Arcadia, WI 54612
Phone (608) 323-8563

Other identifiers 1

IdentifierTypeStateIssuer
38950100MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040521000650 WI Practitioner - Chiropractic 6608867817 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

308 S Saint Joseph Ave
Suite 2
Arcadia, WI 54612-1465
Phone (608) 323-8563

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3983012WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Procare Chiropractic S.C. CurrentSince Feb 2, 2004 Accepting new patients

Locations

308 S Saint Joseph Ave
Ste 2
Arcadia, WI 54612
Phone (608) 323-8563

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972605731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 ST JOSEPH AVE SUITE 2",
            "city": "ARCADIA",
            "state": "WI",
            "postal_code": "54612",
            "telephone_number": "608-323-8563",
            "fax_number": "608-323-8405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 ST JOSEPH AVE SUITE 2",
            "city": "ARCADIA",
            "state": "WI",
            "postal_code": "54612",
            "telephone_number": "608-323-8563",
            "fax_number": "608-323-8405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASSUENER",
        "first_name": "ALAN",
        "middle_name": "J",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3983012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38950100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.