Active NPI
Cheryl Cernak Folstad, DC
- Chiropractor
- Tomah, WI
National Provider Identifier
1164599221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1875-012
- Practice address
- 1100 Kilbourn Ave
Tomah, WI 54660-2630 - Phone
- (608) 372-2747
- Fax
- (608) 372-3100
- NPI assigned
- Nov 30, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1875-012 | WI | Primary |
Addresses
Primary practice location
1100 Kilbourn Ave
Tomah, WI 54660-2630
Mailing address
1100 Kilbourn Ave
Tomah, WI 54660-2630
Phone (608) 343-5025
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 391513385 | Other | WI | FEDERAL TAX ID |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1875-012 | WI | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462752000000",
"number": "1164599221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 KILBOURN AVE",
"city": "TOMAH",
"state": "WI",
"postal_code": "546602630",
"telephone_number": "608-343-5025",
"fax_number": "608-372-3100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 KILBOURN AVE",
"city": "TOMAH",
"state": "WI",
"postal_code": "546602630",
"telephone_number": "608-372-2747",
"fax_number": "608-372-3100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOLSTAD",
"first_name": "CHERYL",
"middle_name": "CERNAK",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-30",
"last_updated": "2016-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "1875-012",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL TAX ID",
"identifier": "391513385",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tomah, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.