NPIMap

Organization Active NPI

Tell Peck Chiropractic Inc

Doing business as Wissota Chiropractic

  • Chiropractor
  • Chippewa Falls, WI
National Provider Identifier
1144607946
Registry record updated Apr 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4991-12 Issued in WI
Legal business name
TELL PECK CHIROPRACTIC INC
Doing business as
Wissota Chiropractic
Practice address
17191 County Highway X
Chippewa Falls, WI 54729-8057
Phone
(715) 723-3333
Fax
(715) 723-3309
NPI assigned
Apr 30, 2015
Last updated
Apr 30, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2015

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

Authorized official

Name
Michelle Tell Peck, D.C.
Title
Chiropractor/Owner
Phone
(715) 723-3333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4991-12 WI Primary

Addresses

Primary practice location

17191 County Highway X
Chippewa Falls, WI 54729-8057

Mailing address

17191 County Highway X
Chippewa Falls, WI 54729-8057
Phone (715) 723-3333

Other names 1

  • Wissota Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

17191 County Highway X
Chippewa Fls, WI 54729
Phone (715) 723-3333

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1430352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430352000000",
    "number": "1144607946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17191 COUNTY HIGHWAY X",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547298057",
            "telephone_number": "715-723-3333",
            "fax_number": "715-723-3309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17191 COUNTY HIGHWAY X",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547298057",
            "telephone_number": "715-723-3333",
            "fax_number": "715-723-3309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELL PECK CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-30",
        "last_updated": "2015-04-30",
        "status": "A",
        "authorized_official_last_name": "TELL PECK",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "715-723-3333",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4991-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wissota Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chippewa Falls, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2015; 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.