Beloit Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4163

Legal business name

BELOIT CHIROPRACTIC, LLC

Practice address

1610 Madison Rd
Beloit, WI 53511-3215

Phone

(608) 361-9000

NPI assigned

Apr 11, 2013

Last updated

Apr 11, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Scott C Fenwick, D.C.NPI 1508838335

Title

Owner

Phone

(608) 361-9000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

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.

• Scott C Fenwick, DC

  • Chiropractor
  • Peoria, IL
  • NPI 1508838335

  WI

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1365638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365638400000",
    "number": "1184067894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 MADISON RD",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535113215",
            "telephone_number": "608-361-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 MADISON RD",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535113215",
            "telephone_number": "608-361-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELOIT CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-11",
        "last_updated": "2013-04-11",
        "status": "A",
        "authorized_official_last_name": "FENWICK",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-361-9000",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": "4163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Lee Beaumont
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• Melissa L Beckford, MS
• Kari E. Bell
• Beloit Care LLC (Beloit Health & Rehabilitation Center)
• Beloit Clinic, S.C.
• Beloit Clinic, S.C.
• Beloit Clinic, S.C.
• Beloit College
• Beloit Family Eye Care S.C.

• Chiropractor in Beloit, WI
• Providers in Beloit, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; 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.