Organization Active NPI

Radiant Health Chiropractic, LLC

  • Chiropractor
  • Madison, WI
National Provider Identifier
1124279302
Registry record updated Oct 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4397-012 Issued in WI
Legal business name
RADIANT HEALTH CHIROPRACTIC, LLC
Practice address
3545 University Ave
Madison, WI 53705-2140
Phone
(608) 204-9520
NPI assigned
Oct 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2008

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

Authorized official

Name
Dr. Corinne Katherine Willner, D.C.
Title
Doctor/Owner
Phone
(608) 204-9520

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4397-012 WI Primary

Addresses

Primary practice location

3545 University Ave
Madison, WI 53705-2140

Mailing address

3545 University Ave
Madison, WI 53705-2140

National Provider Directory

National Provider Directory

Locations

3545 University Ave
Madison, WI 53705
Phone (608) 204-9520

NPI Registry JSON

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

{
    "created_epoch": "1223251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223251200000",
    "number": "1124279302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3545 UNIVERSITY AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537052140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3545 UNIVERSITY AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537052140",
            "telephone_number": "608-204-9520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANT HEALTH CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-06",
        "last_updated": "2008-10-06",
        "status": "A",
        "authorized_official_last_name": "WILLNER",
        "authorized_official_first_name": "CORINNE",
        "authorized_official_middle_name": "KATHERINE",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "608-204-9520",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4397-012",
            "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 Oct 6, 2008; 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.