Laura Leanne Detert, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2895-012 Issued in WI

Practice address

1101 N Main St
Marion, WI 54950-9182

Phone

(715) 754-2555

Fax

(715) 754-2556

NPI assigned

Dec 5, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Detert Chiropractic Office SC

  • Chiropractor
  • Marion, WI
  • NPI 1235139353
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1154489425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 485",
            "city": "MARION",
            "state": "WI",
            "postal_code": "549500485",
            "telephone_number": "715-754-2555",
            "fax_number": "715-754-2556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 N MAIN ST",
            "city": "MARION",
            "state": "WI",
            "postal_code": "549509182",
            "telephone_number": "715-754-2555",
            "fax_number": "715-754-2556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DETERT",
        "first_name": "LAURA",
        "middle_name": "LEANNE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2895-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38984900",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38866500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jami Beilfuss, RN
• Detert Chiropractic Office SC
• Get Well Health Services LLC
• Christopher P Gilling, DDS
• Erik Steven Gilling, DDS
• Justin Joseph Gilling, DDS
• Morgan Hanson

• All providers in Marion, WI
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.