Simply Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3763 Issued in WI

Legal business name

SIMPLY CHIROPRACTIC, LLC

Practice address

2303 Schneider Ave SE
Suite 150
Menomonie, WI 54751-7005

Phone

(715) 233-1867

NPI assigned

Jul 13, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Shane C Peterson, D.C.NPI 1194749333

Title

Member/Owner

Phone

(715) 233-1867

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 3

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

• Shane C Peterson, D.C.

  • Chiropractor
  • Menomonie, WI
  • NPI 1194749333
  Medicare reassignment Care Compare group NPD Authorized official
• Jeffrey J Schemenauer, DC

  • Chiropractor
  • Menomonie, WI
  • NPI 1235120940
  Medicare reassignment Care Compare group NPD
• Matthew Stephen Thomas, D.C.

  • Chiropractor
  • Thomaston, ME
  • NPI 1568520997
  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013932821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2303 SCHNEIDER AVE SE",
            "address_2": "SUITE 150",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547517005",
            "telephone_number": "715-233-1867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2303 SCHNEIDER AVE SE",
            "address_2": "SUITE 150",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547517005",
            "telephone_number": "715-233-1867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "SHANE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "715-233-1867",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SATE LICENSE",
            "identifier": "3763",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ginger R Shager, CADC III
• Rebekah Shearier, BS
• Beth Ann Shields, MT
• Shoptikal LLC (Shopko Optical 4225)
• Steven R. Siegle, PSY.D.
• Henry J. Simpson, M.D.
• Kristen D Skow
• Melissa Smith-Tourville
• Eric W. Sorenson, M.D.
• Jeff S Sorenson, RPH

• Chiropractor in Menomonie, WI
• Providers in Menomonie, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.