Vandecastle Family Chiropractic Clinic,LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3430 Issued in WI

Legal business name

VANDECASTLE FAMILY CHIROPRACTIC CLINIC,LLC

Practice address

77 W. John St.
Markesan, WI 53946

Phone

(920) 398-1999

NPI assigned

Apr 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Dawn Vandecastle, D.C.NPI 1700926854

Title

Owner

Phone

(920) 398-1999

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 1

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

• Dawn Vandecastle, D.C.

  • Chiropractor
  • Markesan, WI
  • NPI 1700926854
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043332299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2",
            "city": "MARKESAN",
            "state": "WI",
            "postal_code": "539460002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 W. JOHN ST.",
            "city": "MARKESAN",
            "state": "WI",
            "postal_code": "53946",
            "telephone_number": "920-398-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANDECASTLE FAMILY CHIROPRACTIC CLINIC,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VANDECASTLE",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-398-1999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul A Miller, DDS
• Peggy Jean Post, COTA
• Nancy Lynn Schweder, R.N.
• Southern Green Lake County Ambulance Service
• Paula Ann Stout, P.T.A.
• Dawn Vandecastle, D.C.
• Lauren Walker, PHARMD, RPH
• Kathleen Suzanne Wilkowski, OT
• Elisa Winchell, OT

• Chiropractor in Markesan, WI
• Providers in Markesan, 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.