Dale R Alt, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2007 Issued in WI

Practice address

127 Park Ave
Beaver Dam, WI 53916-2107

Phone

(920) 887-3717

Fax

(920) 887-0220

NPI assigned

Jun 30, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

ChiropracticAlso: Diagnostic Radiology

Education

Palmer College Chiropractic - Davenport, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dale R. Alt, D.C., S.C.

  • Chiropractor
  • Beaver Dam, WI
  • NPI 1285700955
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003845587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 PARK AVE",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "539162107",
            "telephone_number": "920-887-3717",
            "fax_number": "920-887-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 PARK AVE",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "539162107",
            "telephone_number": "920-887-3717",
            "fax_number": "920-887-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALT",
        "first_name": "DALE",
        "middle_name": "R",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38833700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rula Al-Baghdadi, MD
• Kim Michelle Albridge, MD
• Laeekha A Ali, MD
• Bradley A Allen, MD
• Robert A Allen, RN
• Adam Altenburg
• Samantha Alvarado, M.S., CCC-SLP
• Ameripath Milwaukee SC
• Angels on Earth Home Care, LLC.
• Colleen Anhalt

• Chiropractor in Beaver Dam, WI
• Providers in Beaver Dam, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.