Driftless One Chiropractic, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

DRIFTLESS ONE CHIROPRACTIC, INC.

Practice address

120 Sunset Ridge Ave Ste 109
Gays Mills, WI 54631-8331

Phone

(630) 542-1659

NPI assigned

Jul 14, 2023

Last updated

Jul 14, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kristopher Shane Nordrum, DCNPI 1376579144

Title

Clinic Director/Owner

Phone

(630) 542-1659

Specialties & licenses 1

Addresses

Locations

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.

• Kristopher Shane Nordrum, D.C.

  • Chiropractor
  • Gays Mills, WI
  • NPI 1376579144
  NPD Authorized official

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

{
    "created_epoch": "1689292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689292800000",
    "number": "1073292223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 SUNSET RIDGE AVE STE 109",
            "city": "GAYS MILLS",
            "state": "WI",
            "postal_code": "546318331",
            "telephone_number": "630-542-1659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 SUNSET RIDGE AVE STE 109",
            "city": "GAYS MILLS",
            "state": "WI",
            "postal_code": "546318331",
            "telephone_number": "630-542-1659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRIFTLESS ONE CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-14",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A",
        "authorized_official_last_name": "NORDRUM",
        "authorized_official_first_name": "KRISTOPHER",
        "authorized_official_middle_name": "SHANE",
        "authorized_official_title_or_position": "CLINIC DIRECTOR/OWNER",
        "authorized_official_telephone_number": "630-542-1659",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosa M Dilley, RN
• Margaret Mary Havllik
• Jennifer Knutson
• Kristopher Shane Nordrum, D.C.
• Ocooch Mountain Rescue Inc.
• Ellen Pestcoe, OTR

• Chiropractor in Gays Mills, WI
• Providers in Gays Mills, 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, 2023; 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.