EAST SIDE CHIROPRACTIC AND LASER THERAPY CENTER LLC
NPI 1508506353
Chiropractor in Green Bay, WI
About East Side Chiropractic And Laser Therapy Center Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EAST SIDE CHIROPRACTIC AND LASER THERAPY CENTER LLC (NPI 1508506353), doing business as East Side Chiropractic, is a healthcare organization registered as a chiropractor in Green Bay, Wisconsin and active in the NPI registry since March 2022. The organization lists Michael Zastrow, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Group Practice 1
Accepted 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)
East Side Chiropractic And Laser Therapy Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to East Side Chiropractic And Laser Therapy Center LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 East Side Chiropractic And Laser Therapy Center LLC's NPI number?
The NPI number for East Side Chiropractic And Laser Therapy Center LLC is 1508506353. It was assigned to this organization in the NPPES registry on March 30, 2022. The provider is doing business as East Side Chiropractic.
Where is East Side Chiropractic And Laser Therapy Center LLC located?
East Side Chiropractic And Laser Therapy Center LLC is located at 1624 E Mason St, Green Bay, WI 54302. The listed phone number is (920) 465-0400.
What is East Side Chiropractic And Laser Therapy Center LLC's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is East Side Chiropractic And Laser Therapy Center LLC enrolled in Medicare?
Yes. East Side Chiropractic And Laser Therapy Center LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through East Side Chiropractic And Laser Therapy Center LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to East Side Chiropractic And Laser Therapy Center LLC. 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does East Side Chiropractic And Laser Therapy Center LLC accept?
Health plans from Dean Health Plan and HealthPartners list East Side Chiropractic And Laser Therapy Center LLC 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 East Side Chiropractic And Laser Therapy Center LLC was last updated on April 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.
# East Side Chiropractic And Laser Therapy Center Llc · NPI 1508506353
Chiropractor organization in Green Bay, Wisconsin. Organization record, active in the CMS NPPES registry since March 30, 2022.
## Identity
- **NPI:** 1508506353 (Entity type: Organization)
- **Enumerated:** March 30, 2022
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Also known as:** East Side Chiropractic (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Michael Zastrow, OWNER
## Practice location
- **Address:** 1624 E MASON ST, Green Bay, WI 54302-2739
- **Phone:** (920) 465-0400
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Chiropractic) reassign Medicare billing to this organization (form CMS-855R); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 10, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1508506353) · Data from the CMS NPPES public registry.