Paulson Chiropractic Clinic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4949 Issued in WI

Legal business name

PAULSON CHIROPRACTIC CLINIC, LLC

Practice address

336 3Rd Ave
Clear Lake, WI 54005-8581

Phone

(715) 263-2313

NPI assigned

Oct 4, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Brent Richard Paulson, D.C.NPI 1871925669

Title

Chiropractor

Phone

(715) 263-2313

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Practitioners 3

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

• Brent Richard Paulson, D.C.

  • Chiropractor
  • Clear Lake, WI
  • NPI 1871925669
  Medicare reassignment Care Compare group NPD Authorized official
• Bradley Alvin Paulson, DC

  • Chiropractor
  • Clear Lake, WI
  • NPI 1083722920
  Medicare reassignment Care Compare group NPD
• Deborah Leonhardt, D.C.

  • Chiropractor
  • Cumberland, WI
  • NPI 1508179102
  NPD (past)

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

{
    "created_epoch": "1380844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380844800000",
    "number": "1215364211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 96",
            "city": "CLEAR LAKE",
            "state": "WI",
            "postal_code": "540050096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 3RD AVE",
            "city": "CLEAR LAKE",
            "state": "WI",
            "postal_code": "540058581",
            "telephone_number": "715-263-2313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAULSON CHIROPRACTIC CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-04",
        "last_updated": "2013-10-04",
        "status": "A",
        "authorized_official_last_name": "PAULSON",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "715-263-2313",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Anthony Larson, DPT
• Emily J Monson, MSPT
• Jolleen Mary Nichols, DNP
• Northern Roots Family Spinal Care, LLC
• Northland Audiology LLC
• Bradley Alvin Paulson, DC
• Brent Richard Paulson, D.C.
• School District of Clear Lake
• Village of Clear Lake

• Chiropractor in Clear Lake, WI
• Providers in Clear Lake, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.