Organization Active NPI

Chiropractic Health Center of Waupaca LLC, Stuart Boelte Sole MBR

  • Chiropractor
  • Waupaca, WI
National Provider Identifier
1093539173
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CHIROPRACTIC HEALTH CENTER OF WAUPACA LLC, STUART BOELTE SOLE MBR
Practice address
1326 Royalton St
Waupaca, WI 54981-1609
Phone
(715) 258-8288
Fax
(715) 258-7195
NPI assigned
Nov 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Authorized official

Name
Dr. Stuart John Boelte, DCNPI 1710072418
Title
Chiropractor
Phone
(715) 258-8288

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1326 Royalton St
Waupaca, WI 54981-1609

Mailing address

1326 Royalton St
Waupaca, WI 54981-1609
Phone (715) 258-8288

National Provider Directory

National Provider Directory

Locations

1326 Royalton St
Waupaca, WI 54981
Phone (715) 258-8288

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": "1731542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731888000000",
    "number": "1093539173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1326 ROYALTON ST",
            "city": "WAUPACA",
            "state": "WI",
            "postal_code": "549811609",
            "telephone_number": "715-258-8288",
            "fax_number": "715-258-7195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1326 ROYALTON ST",
            "city": "WAUPACA",
            "state": "WI",
            "postal_code": "549811609",
            "telephone_number": "715-258-8288",
            "fax_number": "715-258-7195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC HEALTH CENTER OF WAUPACA LLC, STUART BOELTE SOLE MBR",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-14",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A",
        "authorized_official_last_name": "BOELTE",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "715-258-8288",
        "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": []
}

Other providers in Waupaca, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.