Active NPI
Tara Anne Osterholz, D.C
- Chiropractor
- Verona, WI
National Provider Identifier
1053646331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4535-012
- Practice address
- 413 W Verona Ave
Verona, WI 53593-1318 - Phone
- (608) 732-1037
- NPI assigned
- Oct 5, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4535-012 | WI | Primary |
Addresses
Primary practice location
413 W Verona Ave
Verona, WI 53593-1318
Mailing address
PO Box 930226
Verona, WI 53593-0226
Phone (608) 732-1037
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
413 W Verona Ave
Verona, WI 53593-1318
Phone (608) 497-3000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4535-012 | WI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Verona Chiropractic, LLC | Chiropractor | Current | Accepting new patients |
| Belleville Chiropractic and Wellness Center, S.C. | Chiropractor | Past | Accepting new patients |
Locations
413 W Verona Ave
Verona, WI 53593
Phone (608) 497-3000
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Verona, WI
- NPI 1295088508
-
- Chiropractor
- Belleville, WI
- NPI 1649473380
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350864000000",
"number": "1053646331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 930226",
"city": "VERONA",
"state": "WI",
"postal_code": "535930226",
"telephone_number": "608-732-1037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "413 W VERONA AVE",
"city": "VERONA",
"state": "WI",
"postal_code": "535931318",
"telephone_number": "608-732-1037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSTERHOLZ",
"first_name": "TARA",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "D.C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-05",
"last_updated": "2012-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "4535-012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Verona, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.