Yellow Wood Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4622-012 Issued in WI

Legal business name

YELLOW WOOD CHIROPRACTIC

Practice address

5497 Waterford LN
Suite D
Appleton, WI 54913-8509

Phone

(920) 202-5741

Fax

(920) 569-2951

NPI assigned

Sep 8, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Kimberli Trader, D.C.NPI 1720390396

Title

Owner

Phone

(920) 205-0711

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 1

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

• Kimberli Trader, D.C.

  • Chiropractor
  • Menasha, WI
  • NPI 1720390396
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1283904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300838400000",
    "number": "1194032375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5497 WATERFORD LN",
            "address_2": "SUITE D",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549138509",
            "telephone_number": "920-202-5741",
            "fax_number": "920-569-2951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5497 WATERFORD LN",
            "address_2": "SUITE D",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549138509",
            "telephone_number": "920-202-5741",
            "fax_number": "920-569-2951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YELLOW WOOD CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-08",
        "last_updated": "2011-03-23",
        "status": "A",
        "authorized_official_last_name": "TRADER",
        "authorized_official_first_name": "KIMBERLI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-205-0711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4622-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yvonne Wen-Yuan Yang, D.D.S.
• Zoua Yang, APNP
• Brittnee Yanna, CST
• Therese Elizabeth Yarroch, MD
• Douglas S. Yeatman, M.D.
• Christine Yerges, RDH
• Amy Rebecca Young, ST
• Jodi Young, LCSW
• Shawn Marie Youngcronce, BS
• Dong Bo Yu

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2011; 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.