Individual provider Active NPI

Carmen Louise Quednow, D.C.

  • Chiropractor
  • Medford, WI
National Provider Identifier
1124173430
Registry record updated Feb 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3065 Issued in WI
Practice address
206 S Main St
Medford, WI 54451-1843
Phone
(715) 965-3220
NPI assigned
Jan 24, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3065 WI Primary

Addresses

Primary practice location

206 S Main St
Medford, WI 54451-1843

Mailing address

206 S Main St
P.O. Box 242
Medford, WI 54451-1843
Phone (715) 965-3220

Other identifiers 1

IdentifierTypeStateIssuer
38875800MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Quednow Chiropractic Clinic LLC Chiropractor PastSince Jan 1, 1990 Accepting new patients
Gentle Touch Chiropractic, LLC Past Accepting new patients

Organizations & group practices 2

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": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455840000000",
    "number": "1124173430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 S MAIN ST",
            "address_2": "P.O. BOX 242",
            "city": "MEDFORD",
            "state": "WI",
            "postal_code": "544511843",
            "telephone_number": "715-965-3220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 S MAIN ST",
            "city": "MEDFORD",
            "state": "WI",
            "postal_code": "544511843",
            "telephone_number": "715-965-3220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUEDNOW",
        "first_name": "CARMEN",
        "middle_name": "LOUISE",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2016-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38875800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2016; 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.