Active NPI
Tomah Chiropractic Clinic
- Chiropractor
- Tomah, WI
National Provider Identifier
1083909253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4478-12
- Legal business name
- TOMAH CHIROPRACTIC CLINIC
- Practice address
- 500 N Superior Ave
Tomah, WI 54660-1114 - Phone
- (608) 372-3348
- NPI assigned
- Jun 15, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lindsey Shaw
- Title
- Owner/Chiropractor
- Phone
- (608) 372-3348
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4478-12 | WI | Primary |
Addresses
Primary practice location
500 N Superior Ave
Tomah, WI 54660-1114
Mailing address
PO Box 937
500 N. Superior Ave.
Tomah, WI 54660-0937
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
500 N Superior Ave
Tomah, WI 54660
Phone (608) 372-3348
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Tomah, WI
- NPI 1780823641
-
- Chiropractor
- Saint Paul, MN
- NPI 1326048604
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308096000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1308787200000",
"number": "1083909253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 937",
"address_2": "500 N. SUPERIOR AVE.",
"city": "TOMAH",
"state": "WI",
"postal_code": "546600937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 N SUPERIOR AVE",
"city": "TOMAH",
"state": "WI",
"postal_code": "546601114",
"telephone_number": "608-372-3348"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOMAH CHIROPRACTIC CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2011-06-15",
"last_updated": "2011-06-23",
"status": "A",
"authorized_official_last_name": "SHAW",
"authorized_official_first_name": "LINDSEY",
"authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
"authorized_official_telephone_number": "608-372-3348"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "WI",
"license": "4478-12",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tomah, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2011; 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.