Organization Active NPI

On-Site Chiropractic LLC

  • Chiropractor
  • Chippewa Falls, WI
National Provider Identifier
1043865603
Registry record updated Aug 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ON-SITE CHIROPRACTIC LLC
Practice address
2029 County Highway I Ste 5
Chippewa Falls, WI 54729-4420
Phone
(715) 720-8500
NPI assigned
Aug 9, 2019
Last updated
Aug 9, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2019

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

Authorized official

Name
Amanda Danielle Haines, DC
Title
Chiropractor
Phone
(330) 933-8235

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

2029 County Highway I Ste 5
Chippewa Falls, WI 54729-4420

Mailing address

2029 County Highway I Ste 5
Chippewa Falls, WI 54729-4420
Phone (715) 720-8500

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL Genesis

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1565308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565308800000",
    "number": "1043865603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2029 COUNTY HIGHWAY I STE 5",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547294420",
            "telephone_number": "715-720-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2029 COUNTY HIGHWAY I STE 5",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547294420",
            "telephone_number": "715-720-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ON-SITE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-09",
        "last_updated": "2019-08-09",
        "status": "A",
        "authorized_official_last_name": "HAINES",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "DANIELLE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "330-933-8235",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Genesis",
            "affiliation": "N",
            "address_1": "2029 County Highway I Ste 5",
            "city": "Chippewa Falls",
            "state": "WI",
            "country_code": "US",
            "postal_code": "547294420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chippewa Falls, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2019; 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.