Organization Active NPI

Fall Creek Chiropractic Inc.

  • Chiropractor
  • Fall Creek, WI
National Provider Identifier
1104025261
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1583-012 Issued in WI
Legal business name
FALL CREEK CHIROPRACTIC INC.
Practice address
301 W Lincoln Ave
Fall Creek, WI 54742-9362
Phone
(715) 877-2880
Fax
(715) 877-3451
NPI assigned
Jul 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Authorized official

Name
Beth McVeyNPI 1699035881
Title
Chiropractor/Owner
Phone
(715) 877-2880

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 1583-012 WI Primary

Addresses

Primary practice location

301 W Lincoln Ave
Fall Creek, WI 54742-9362

Mailing address

301 W Lincoln Ave
Pob 338
Fall Creek, WI 54742-9363
Phone (715) 877-2880

Other identifiers 1

IdentifierTypeStateIssuer
38827700MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050329000325 WI Part B Supplier - Clinic/Group Practice 8224084652 Receives reassigned benefits from 1 practitioner
Practice locations: Fall Creek, WI

National Provider Directory

National Provider Directory

Locations

237 W Lincoln Ave
Fall Creek, WI 54742
Phone (715) 877-2880

301 W Lincoln Ave
Fall Creek, WI 54742
Phone (715) 877-2880

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765238400000",
    "number": "1104025261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W LINCOLN AVE",
            "address_2": "POB 338",
            "city": "FALL CREEK",
            "state": "WI",
            "postal_code": "547429363",
            "telephone_number": "715-877-2880",
            "fax_number": "715-877-3451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W LINCOLN AVE",
            "city": "FALL CREEK",
            "state": "WI",
            "postal_code": "547429362",
            "telephone_number": "715-877-2880",
            "fax_number": "715-877-3451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FALL CREEK CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A",
        "authorized_official_last_name": "MCVEY",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "715-877-2880"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "1583-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38827700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall Creek, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; 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.