Active NPI
Breidenbach Family and Sports Chiropractic Inc
- Chiropractor
- La Crosse, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- BREIDENBACH FAMILY AND SPORTS CHIROPRACTIC INC
- Practice address
- 1526 Rose St
La Crosse, WI 54603-4500 - Phone
- (608) 781-9880
- NPI assigned
- Nov 13, 2006
- Last updated
- Jul 21, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Amy Kay Breidenbach, DC
- Title
- Owner/Chiropractor
- Phone
- (608) 386-9538
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
1526 Rose St
La Crosse, WI 54603-4500
Mailing address
1526 Rose St
La Crosse, WI 54603-4500
Phone (608) 781-9880
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38930000 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1526 Rose St
La Crosse, WI 54603
Phone (608) 317-4644
1526 Rose St
Ste 102
La Crosse, WI 54603
Phone (608) 781-9880
1605 Losey Blvd S
La Crosse, WI 54601
Phone (608) 788-7880
Practitioners & affiliated clinicians
Practitioners 25
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
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-
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-
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- NPI 1982307286
-
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- NPI 1881230548
-
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1003987652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1526 ROSE ST",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546034500",
"telephone_number": "608-781-9880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1526 ROSE ST",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546034500",
"telephone_number": "608-781-9880"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BREIDENBACH FAMILY AND SPORTS CHIROPRACTIC INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-13",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "BREIDENBACH",
"authorized_official_first_name": "AMY",
"authorized_official_middle_name": "KAY",
"authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
"authorized_official_telephone_number": "608-386-9538",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38930000",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in La Crosse, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.