Organization Active NPI

Spaulding Chiropractic Health Center LLC

  • Chiropractor
  • Ripon, WI
National Provider Identifier
1164600060
Registry record updated Mar 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4331 Issued in WI
Legal business name
SPAULDING CHIROPRACTIC HEALTH CENTER LLC
Practice address
626 E Fond Du Lac St
Ripon, WI 54971-9500
Phone
(920) 748-9355
Fax
(920) 748-9360
NPI assigned
Feb 4, 2008
Last updated
Mar 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2008

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

Authorized official

Name
Dr. Joel Frank Spaulding, D.C.NPI 1346439650
Title
Chiropractor
Phone
(920) 748-9355

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4331 WI Primary

Addresses

Primary practice location

626 E Fond Du Lac St
Ripon, WI 54971-9500

Mailing address

PO Box 141
Ripon, WI 54971-0141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080319000241 WI Part B Supplier - Clinic/Group Practice 1153407945 Receives reassigned benefits from 1 practitioner
Practice locations: Ripon, WI

National Provider Directory

National Provider Directory

Locations

626 E Fond du Lac St
Ripon, WI 54971
Phone (920) 748-9355

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206662400000",
    "number": "1164600060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 141",
            "city": "RIPON",
            "state": "WI",
            "postal_code": "549710141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 E FOND DU LAC ST",
            "city": "RIPON",
            "state": "WI",
            "postal_code": "549719500",
            "telephone_number": "920-748-9355",
            "fax_number": "920-748-9360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPAULDING CHIROPRACTIC HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-04",
        "last_updated": "2008-03-28",
        "status": "A",
        "authorized_official_last_name": "SPAULDING",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "920-748-9355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ripon, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.