Active NPI
Restoration Chiropractic, LLC
- Clinic/Center
- Dodgeville, WI
National Provider Identifier
1114367828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 3435-012
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.