Bittner Clinic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5176 Issued in WI

Legal business name

BITTNER CLINIC LLC

Practice address

154 Lodi St
Lodi, WI 53555-1217

Phone

(608) 592-7030

NPI assigned

Jun 14, 2016

Organization subpart

No

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

Authorized official

Name

Amber Lyn Bittner, D.C.NPI 1225488091

Title

President/Member

Phone

(608) 370-1895

Specialties & licenses 1

Addresses

Other names 1

• Lodi Chiropractic Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amber Lyn Bittner, D.C.

  • Chiropractor
  • Lodi, WI
  • NPI 1225488091
  Medicare reassignment NPD Authorized official
• Joel Robert Cooper, D.C.

  • Chiropractor
  • Lodi, WI
  • NPI 1649236977
  NPD

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

{
    "created_epoch": "1465862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465862400000",
    "number": "1013367747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 LODI ST",
            "city": "LODI",
            "state": "WI",
            "postal_code": "535551217",
            "telephone_number": "608-592-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 LODI ST",
            "city": "LODI",
            "state": "WI",
            "postal_code": "535551217",
            "telephone_number": "608-592-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BITTNER CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-14",
        "last_updated": "2016-06-14",
        "status": "A",
        "authorized_official_last_name": "BITTNER",
        "authorized_official_first_name": "AMBER LYN",
        "authorized_official_title_or_position": "PRESIDENT/MEMBER",
        "authorized_official_telephone_number": "608-370-1895",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lodi Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashlely Rae Anderson, MS, CCC-SLP
• Melissa Marie Ballweg, RN
• Perry Allen Barrette, DDS
• Natalie Marie Behling, DDS
• Amber Lyn Bittner, D.C.
• Breunig Family Chiropractic LLC
• Jennifer A Breunig, D.C.
• Deborah Lynn Brock, PHD
• Burlage Chiropractic Wellness Center LLC

• All providers in Lodi, WI
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; 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.

Verify at the official NPI Registry.