JOHN HENRY EIDEM DC
NPI 1013992627
Chiropractor in Horicon, WI

Active since December 07, 2005Accepts Medicare Assignment
514 E LAKE ST, HORICON, WI 53032(920) 485-4009(920) 485-0632 Get Directions Write a Review

NPPES record last updated: July 29, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About John Henry Eidem Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN HENRY EIDEM DC (NPI 1013992627) is an individual chiropractor in Horicon, Wisconsin, licensed in Wisconsin (2303012) and active in the NPI registry since December 2005. He is a graduate of Other (1987).

NPPES Registry Identity

NPI1013992627
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameJOHN HENRY EIDEMCredential: DC
Location Address514 E LAKE STHoricon, WI 53032-1247
Mailing Address514 E Lake StHoricon, WI 53032-1247 · (920) 485-4009 · Fax (920) 485-0632
Fax(920) 485-0632
Sole ProprietorYes
Medical School CMSOtherGraduated 1987
Enumeration DateDecember 7, 2005
Last NPPES UpdateJuly 29, 2010
NPI 1013992627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in WI · 2303012
Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

514 E LAKE ST, Horicon, WI 53032

Other Identifiers 3

Medicare UPINU01303
Medicare ID-Type Unspecified70211
Medicaid38850600WI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

John Henry Eidem Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6406019355
PECOS Enrollment IDI20120514000131

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
193 services36 patients
Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
98 services30 patients

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
514 E LAKE ST
HORICON, WI 53032
Chiropractor
514 E LAKE ST
HORICON, WI 53032
Chiropractor
514 E LAKE ST
HORICON, WI 53032

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Eidem's NPI number?

The NPI number for John Eidem is 1013992627. It was assigned to this individual provider in the NPPES registry on December 7, 2005.

Where is John Eidem located?

John Eidem practices at 514 E Lake St, Horicon, WI 53032. The listed phone number is (920) 485-4009.

What is John Eidem's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is John Eidem enrolled in Medicare?

Yes. John Eidem is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does John Eidem accept?

Health plans from Anthem Blue Cross and Blue Shield, Network Health and Providence Health Plan list John Eidem as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for John Eidem was last updated on July 29, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.