Organization Active NPI

Hjelle Chiropractic Clinic, S.C.

  • Health Service Clinic/Center
  • Rhinelander, WI
National Provider Identifier
1134301435
Registry record updated Dec 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
111N00000X Issued in WI
Legal business name
HJELLE CHIROPRACTIC CLINIC, S.C.
Practice address
201 E Anderson St
Rhinelander, WI 54501-3771
Phone
(715) 362-6501
Fax
(715) 362-6502
NPI assigned
Nov 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2013

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

Authorized official

Name
Dr. Anthony D Hjelle, D.C.
Title
Owner/Chiropractor
Phone
(715) 362-6501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 111N00000X WI Primary

Addresses

Primary practice location

201 E Anderson St
Rhinelander, WI 54501-3771

Mailing address

201 E Anderson St
Rhinelander, WI 54501-3771
Phone (715) 362-6501

Other identifiers 1

IdentifierTypeStateIssuer
38909600MedicaidWI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D2081099Hjelle Chiropractic Clinic, SC201 E Anderson St, Rhinelander, WI 54501Certificate of waiverJul 17, 2028

National Provider Directory

National Provider Directory

Locations

307 N Lake Ave
Crandon, WI 54520
Phone (715) 478-1300

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388448000000",
    "number": "1134301435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E ANDERSON ST",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545013771",
            "telephone_number": "715-362-6501",
            "fax_number": "715-362-6502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E ANDERSON ST",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545013771",
            "telephone_number": "715-362-6501",
            "fax_number": "715-362-6502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HJELLE CHIROPRACTIC CLINIC, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-29",
        "last_updated": "2013-12-31",
        "status": "A",
        "authorized_official_last_name": "HJELLE",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "715-362-6501",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "WI",
            "license": "111N00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38909600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rhinelander, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.