NPIMap

Organization Active NPI

River Valley Chiropractic Center, SC

  • Chiropractor
  • Onalaska, WI
National Provider Identifier
1174675466
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4279 Issued in WI
Legal business name
RIVER VALLEY CHIROPRACTIC CENTER, SC
Practice address
831 Critter CT Ste 100
Onalaska, WI 54650-8673
Phone
(608) 781-2273
NPI assigned
Jan 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Joshua J Potaracke, DC
Title
Owner
Phone
(608) 781-2273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4279 WI Primary

Addresses

Primary practice location

831 Critter CT Ste 100
Onalaska, WI 54650-8673

Mailing address

831 Critter CT Ste 100
Onalaska, WI 54650-8673
Phone (608) 781-2273

National Provider Directory

National Provider Directory

Locations

831 Critter Ct
Ste 100
Onalaska, WI 54650
Phone (608) 781-2273

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174675466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 CRITTER CT STE 100",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546508673",
            "telephone_number": "608-781-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 CRITTER CT STE 100",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546508673",
            "telephone_number": "608-781-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER VALLEY CHIROPRACTIC CENTER, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POTARACKE",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-781-2273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Onalaska, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.