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ORVILLE AMMADOR ANTONIO D.C.
NPI 1992309348
Chiropractor in Sturgeon Bay, WI

Active since November 25, 2020
30 N 18TH AVE STE 5, STURGEON BAY, WI 54235(920) 818-1234 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 30, 2025, Jun 15, 2021, Nov 25, 2020 (3 updates tracked since 2020).

About Orville Ammador Antonio D.c. NPPES

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

ORVILLE AMMADOR ANTONIO D.C. (NPI 1992309348) is an individual chiropractor in Sturgeon Bay, Wisconsin, licensed in Wisconsin (5354-12) and active in the NPI registry since November 2020. He is a graduate of Palmer College Chiropractic - Davenport (2018).

NPPES Registry Identity

NPI1992309348
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameORVILLE AMMADOR ANTONIOCredential: D.C.
Location Address30 N 18TH AVE STE 5Sturgeon Bay, WI 54235-3207
Mailing Address1034 Tacoma Beach RdSturgeon Bay, WI 54235-1660 · (920) 818-1234
Phone(920) 818-1234
Sole ProprietorNo
Medical School CMSPalmer College Chiropractic - DavenportGraduated 2018
Enumeration DateNovember 25, 2020
Last NPPES UpdateJune 30, 20253 updates tracked since enumeration
NPPES CertifiedJune 20, 2025
✔ NPI 1992309348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WI · 5354-12
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.
30 N 18TH AVE STE 5, Sturgeon Bay, WI 54235
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Orville Ammador Antonio D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5597161174
PECOS Enrollment IDI20210924001296

Medicare Billing Reassignment

Medicare enrollment records show Orville Antonio reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Antonio Natural Healing, LLC
Same address
Health Service
30 N 18TH AVE STE 5
Sturgeon Bay, WI 54235
  • Reassigned Medicare billing, Wisconsin enrollment
NPI 1679146419 (920) 818-1234

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

Other Providers at the Same Location NPPES

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

ANTONIO NATURAL HEALING, LLC
Clinic/Center (Health Service)
30 N 18TH AVE STE 5
STURGEON BAY, WI 54235
Door County (920) 818-1234

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 Orville Antonio's NPI number?

The NPI number for Orville Antonio is 1992309348. It was assigned to this individual provider in the NPPES registry on November 25, 2020.

Where is Orville Antonio located?

Orville Antonio practices at 30 N 18th Ave Ste 5, Sturgeon Bay, WI 54235. The listed phone number is (920) 818-1234.

What is Orville Antonio's specialty?

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

Is Orville Antonio enrolled in Medicare?

Yes. Orville Antonio is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Orville Antonio's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Orville Antonio reassigns Medicare benefits to Antonio Natural Healing, LLC (Sturgeon Bay, WI). The 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 Orville Antonio's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Orville Antonio was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.