DR. DANIEL JOHN THIBODEAU D.C.
NPI 1730190109
Chiropractor in Appleton, WI

Q: What is Daniel Thibodeau's NPI number?

The NPI number for Daniel Thibodeau is 1730190109. It was assigned to this individual provider in the NPPES registry on August 11, 2006.

Q: What is Daniel Thibodeau's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Daniel Thibodeau was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since August 11, 2006Accepts Medicare Assignment

1221 E NORTHLAND AVE, APPLETON, WI 54911(920) 954-1002(920) 954-1006 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Daniel John Thibodeau D.c. NPPES

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

DR. DANIEL JOHN THIBODEAU D.C. (NPI 1730190109) is an individual chiropractor in Appleton, Wisconsin, licensed in Wisconsin (2614) and active in the NPI registry since August 2006. He is a graduate of Palmer College Chiropractic - Davenport (1989).

NPPES Registry Identity

NPI1730190109

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameDR. DANIEL JOHN THIBODEAUCredential: D.C.

Location Address1221 E NORTHLAND AVEAppleton, WI 54911-8415

Mailing Address1221 E Northland AveAppleton, WI 54911-8415 · (920) 954-1002 · Fax (920) 954-1006

Phone(920) 954-1002

Fax(920) 954-1006

Sole ProprietorYes

Medical School CMSPalmer College Chiropractic - DavenportGraduated 1989

Enumeration DateAugust 11, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1730190109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in WI · 2614

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.

1221 E NORTHLAND AVE, Appleton, WI 54911

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Other Identifiers 3

Medicaid38848700WI

Medicare ID-Type Unspecified35228WI

Medicare UPINU01306WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica, Quartz.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

Dr. Daniel John Thibodeau D.c. 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 ID9032290432

PECOS Enrollment IDI20080111000052

Areas of Expertise CMS Part B claims

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, 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.

567 services35 patients

Other Providers at the Same Location NPPES 5

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

DANIEL HANDRICH DC

Chiropractor