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LAKE SUPERIOR CHIROPRACTIC OFFICE, S.C.
NPI 1053538959
Chiropractor in Superior, WI

Active since April 20, 2007
2121 E 5TH ST, SUPERIOR, WI 54880(715) 398-6679(715) 398-6080 Get Directions Write a Review

NPPES record last updated: April 29, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lake Superior Chiropractic Office, S.c. NPPES

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

LAKE SUPERIOR CHIROPRACTIC OFFICE, S.C. (NPI 1053538959) is a healthcare organization registered as a chiropractor in Superior, Wisconsin and active in the NPI registry since April 2007. The organization lists Carl D Miller, Owner, as its authorized official.

NPPES Registry Identity

NPI1053538959
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameLAKE SUPERIOR CHIROPRACTIC OFFICE, S.C.
Location Address2121 E 5TH STSuperior, WI 54880-3610
Mailing Address2121 E 5th StSuperior, WI 54880-3610 · (715) 398-6679 · Fax (715) 398-6080
Phone(715) 398-6679
Fax(715) 398-6080
Organization SubpartNo
Authorized OfficialCarl D MillerOwner · (715) 398-6679
Enumeration DateApril 20, 2007
Last NPPES UpdateApril 29, 2008
✔ NPI 1053538959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WI · 2460
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.
2121 E 5TH ST, Superior, WI 54880
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Other Identifiers 2

Medicaid38986200WI
Medicare ID-Type Unspecified000070440WI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Security Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lake Superior Chiropractic Office, S.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Lake Superior Chiropractic Office, S.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Carl Miller, D.C.
Chiropractic
NPI 1790826261
2121 E 5TH ST
Superior, WI 54880
(715) 398-6679
✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Lake Superior Chiropractic Office, S.C.'s NPI number?

The NPI number for Lake Superior Chiropractic Office, S.C. is 1053538959. It was assigned to this organization in the NPPES registry on April 20, 2007.

Where is Lake Superior Chiropractic Office, S.C. located?

Lake Superior Chiropractic Office, S.C. is located at 2121 E 5th St, Superior, WI 54880. The listed phone number is (715) 398-6679.

What is Lake Superior Chiropractic Office, S.C.'s specialty?

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

Is Lake Superior Chiropractic Office, S.C. enrolled in Medicare?

Yes. Lake Superior Chiropractic Office, S.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lake Superior Chiropractic Office, S.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Lake Superior Chiropractic Office, S.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Lake Superior Chiropractic Office, S.C. accept?

Health plans from HealthPartners and Security Health Plan list Lake Superior Chiropractic Office, S.C. 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 Lake Superior Chiropractic Office, S.C. was last updated on April 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.