Red Cedar Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3995-012 Issued in WI

Legal business name

RED CEDAR CHIROPRACTIC, LLC

Practice address

2321 Hwy 25 N.
#6
Menomonie, WI 54751

Phone

(715) 231-4994

Fax

(715) 231-2099

NPI assigned

Jan 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Clint Powell Moses, DCNPI 1528095601

Title

Owner

Phone

(715) 231-4994

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 2

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

• Clint P Moses, DC

  • Chiropractor
  • Menomonie, WI
  • NPI 1528095601
  Medicare reassignment Care Compare group NPD Authorized official
• Nora R Moses, DC

  • Chiropractor
  • Menomonie, WI
  • NPI 1962439430
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1063563971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2321 HWY 25 N.",
            "address_2": "#6",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "54751",
            "telephone_number": "715-231-4994",
            "fax_number": "715-231-2099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2321 HWY 25 N.",
            "address_2": "#6",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "54751",
            "telephone_number": "715-231-4994",
            "fax_number": "715-231-2099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED CEDAR CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "MOSES",
        "authorized_official_first_name": "CLINT",
        "authorized_official_middle_name": "POWELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-231-4994",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3995-012",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3925-012",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38732500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Private Healthcare Facilities
• Crystal Rachick
• Vicki B Radmann, MS, LPC, NCC
• Lacey Jo Raiche, FNP
• Florence Anne Ramage, PSY.D.
• Red Cedar Dentisry LLC
• Red Cedar Psychology LLC
• Reformedicine, S.C.
• Kara Marie Reich, PT
• David Calvin Reimann

• 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 Jul 14, 2008; 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.