Active NPI
Chiropractic and Rehab Center LLC
- Chiropractor
- Hillsboro, WI
National Provider Identifier
1174092779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- CHIROPRACTIC AND REHAB CENTER LLC
- Practice address
- 840 Water Ave
Hillsboro, WI 54634-6213 - Phone
- (608) 489-4263
- NPI assigned
- Nov 13, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Brian Miller, DC
- Title
- Doctor of Chiropractic
- Phone
- (608) 479-1514
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
840 Water Ave
Hillsboro, WI 54634-6213
Mailing address
W10436 Kratche Rd
Elroy, WI 53929-9701
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568938371 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190220000090 | WI | Part B Supplier - Clinic/Group Practice | 8527306422 |
Receives reassigned benefits from 2 practitioners Practice locations: Hillsboro, WI |
National Provider Directory
National Provider DirectoryLocations
840 Water Ave
Hillsboro, WI 54634
Phone (608) 489-4263
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Student in an Organized Health Care Education/Training Program
- Hillsboro, WI
- NPI 1568938371
WI
-
- Chiropractor
- Reedsburg, WI
- NPI 1972742641
-
- Chiropractor
- Mauston, WI
- NPI 1427075233
-
- Chiropractor
- Reedsburg, WI
- NPI 1770655631
-
- Chiropractor
- Mauston, WI
- NPI 1053332650
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542067200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1550448000000",
"number": "1174092779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W10436 KRATCHE RD",
"city": "ELROY",
"state": "WI",
"postal_code": "539299701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "840 WATER AVE",
"city": "HILLSBORO",
"state": "WI",
"postal_code": "546346213",
"telephone_number": "608-489-4263"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHIROPRACTIC AND REHAB CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-11-13",
"last_updated": "2019-02-18",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "BRIAN",
"authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
"authorized_official_telephone_number": "608-479-1514",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1568938371",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hillsboro, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2019; 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.