Individual provider Active NPI

Jeffrey Fredrick Dye, D.C.

  • Chiropractor
  • Madison, WI
National Provider Identifier
1104092618
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4386-12 Issued in WI
Practice address
7836 Mineral Point Rd
Madison, WI 53717-2088
Phone
(608) 833-9445
Fax
(608) 833-9447
NPI assigned
May 5, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4386-12 WI Primary

Addresses

Primary practice location

7836 Mineral Point Rd
Madison, WI 53717-2088

Mailing address

321 Corbin Dr
Barneveld, WI 53507-9432
Phone (608) 924-0030

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090901000428 WI Practitioner - Chiropractic 2466507124 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10 E Pine St
Platteville, WI 53818-3232
Phone (608) 348-6600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4386-12WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Live Well Chiropractic Chiropractor CurrentSince Oct 21, 2009 Accepting new patients

Locations

10 E Pine St
Platteville, WI 53818
Phone (608) 348-6600

1250 E Business Highway 151
Ste H
Platteville, WI 53818
Phone (608) 348-6600

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209945600000",
    "number": "1104092618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 CORBIN DR",
            "city": "BARNEVELD",
            "state": "WI",
            "postal_code": "535079432",
            "telephone_number": "608-924-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7836 MINERAL POINT RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537172088",
            "telephone_number": "608-833-9445",
            "fax_number": "608-833-9447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYE",
        "first_name": "JEFFREY",
        "middle_name": "FREDRICK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-05",
        "last_updated": "2008-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4386-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.