Individual provider Active NPI

Danielle T Dabruzzi, B.S. D. C.

  • Chiropractor
  • Hudson, WI
National Provider Identifier
1124042643
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4228 Issued in WI
Practice address
86 Coulee Rd. Ste. 201
Hudson, WI 54016
Phone
(715) 386-2424
Fax
(715) 386-2426
NPI assigned
Jul 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4228 WI Primary

Addresses

Primary practice location

86 Coulee Rd. Ste. 201
Hudson, WI 54016

Mailing address

990 167TH St
Hammond, WI 54015-5063
Phone (651) 295-6065

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061115000318 WI Practitioner - Chiropractic 7214935857 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pathways Family Chiropractic, Inc.Group PAC ID 0042218687, 2 clinicians

Practice addresses (Care Compare)

86 Coulee Rd
Hudson, WI 54016-2395
Phone (715) 386-2424

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways Family Chiropractic, Inc. Chiropractor CurrentSince Oct 17, 2006 Accepting new patients

Locations

86 Coulee Rd
Ste 200
Hudson, WI 54016
Phone (715) 386-2424

86 Coulee Rd
Ste 201
Hudson, WI 54016
Phone (715) 386-2424

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124042643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 167TH ST",
            "city": "HAMMOND",
            "state": "WI",
            "postal_code": "540155063",
            "telephone_number": "651-295-6065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 COULEE RD. STE. 201",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "54016",
            "telephone_number": "715-386-2424",
            "fax_number": "715-386-2426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DABRUZZI",
        "first_name": "DANIELLE",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "B.S.    D. C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.