Organization Active NPI

Oak Ridge Chiropractic LLC

  • Chiropractor
  • Eau Claire, WI
National Provider Identifier
1083278303
Registry record updated Sep 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
OAK RIDGE CHIROPRACTIC LLC
Practice address
2522 Golf Rd Ste 1
Eau Claire, WI 54701-6033
Phone
(715) 563-5259
NPI assigned
Apr 23, 2019
Last updated
Sep 23, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2019

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

Authorized official

Name
Danielle Knetter, DCNPI 1982180212
Title
Chiropractor/Owner
Phone
(715) 563-5259

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary

Addresses

Primary practice location

2522 Golf Rd Ste 1
Eau Claire, WI 54701-6033

Mailing address

2522 Golf Rd Ste 1
Eau Claire, WI 54701-6033
Phone (715) 563-5259

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190923001983 WI Part B Supplier - Clinic/Group Practice 3678803343 Receives reassigned benefits from 1 practitioner
Practice locations: Eau Claire, WI

National Provider Directory

National Provider Directory

Locations

2522 Golf Rd
Ste 1
Eau Claire, WI 54701
Phone (715) 563-5259

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": "1555977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569196800000",
    "number": "1083278303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2522 GOLF RD STE 1",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016033",
            "telephone_number": "715-563-5259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2522 GOLF RD STE 1",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016033",
            "telephone_number": "715-563-5259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK RIDGE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-23",
        "last_updated": "2019-09-23",
        "status": "A",
        "authorized_official_last_name": "KNETTER",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "715-563-5259",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2019; 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.