Organization Active NPI

Restoration Chiropractic, LLC

  • Clinic/Center
  • Dodgeville, WI
National Provider Identifier
1114367828
Registry record updated Apr 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
3435-012 Issued in WI
Legal business name
RESTORATION CHIROPRACTIC, LLC
Practice address
4024 Esch Rd
Dodgeville, WI 53533-8740
Phone
(563) 587-8087
Fax
(563) 587-8088
NPI assigned
Jun 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2014

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

Authorized official

Name
Dr. Judith Ann Dochnahl, DC
Title
Owner
Phone
(563) 687-8087

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 3435-012 WI Primary
Clinic/Center 261Q00000X 007484 IA

Addresses

Primary practice location

4024 Esch Rd
Dodgeville, WI 53533-8740

Mailing address

4024 Esch Rd
Dodgeville, WI 53533-8740
Phone (563) 587-8087

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1372204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398038400000",
    "number": "1114367828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4024 ESCH RD",
            "city": "DODGEVILLE",
            "state": "WI",
            "postal_code": "535338740",
            "telephone_number": "563-587-8087",
            "fax_number": "563-587-8088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4024 ESCH RD",
            "city": "DODGEVILLE",
            "state": "WI",
            "postal_code": "535338740",
            "telephone_number": "563-587-8087",
            "fax_number": "563-587-8088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATION CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-26",
        "last_updated": "2014-04-21",
        "status": "A",
        "authorized_official_last_name": "DOCHNAHL",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "563-687-8087",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WI",
            "license": "3435-012",
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IA",
            "license": "007484",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dodgeville, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2014; 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.