NPIMap

Organization Active NPI

Brodhead Chiropractic Center, LLC

  • Chiropractor
  • Brodhead, WI
National Provider Identifier
1043495849
Registry record updated Feb 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3969 Issued in WI
Legal business name
BRODHEAD CHIROPRACTIC CENTER, LLC
Practice address
807 16TH St
Brodhead, WI 53520-1744
Phone
(608) 897-3080
Fax
(608) 897-4353
NPI assigned
Dec 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2008

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

Authorized official

Name
Dr. Dawn A Smith, DC
Title
Owner
Phone
(608) 897-3080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3969 WI Primary

Addresses

Primary practice location

807 16TH St
Brodhead, WI 53520-1744

Mailing address

807 16TH St.
Brodhead, WI 53520
Phone (608) 897-3080

Other names 1

  • Brodhead Chiropractic Center, INC Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203552000000",
    "number": "1043495849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 16TH ST.",
            "city": "BRODHEAD",
            "state": "WI",
            "postal_code": "53520",
            "telephone_number": "608-897-3080",
            "fax_number": "608-897-4353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 16TH ST",
            "city": "BRODHEAD",
            "state": "WI",
            "postal_code": "535201744",
            "telephone_number": "608-897-3080",
            "fax_number": "608-897-4353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRODHEAD CHIROPRACTIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-31",
        "last_updated": "2008-02-21",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-897-3080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brodhead Chiropractic Center, INC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brodhead, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.