Active NPI
Jody Ray Chaussee, D.C.
- Chiropractor
- Chilton, WI
National Provider Identifier
1215923610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3080
- Practice address
- 638 N Madison St
Chilton, WI 53014-1018 - Phone
- (920) 849-4889
- Fax
- (920) 849-7071
- NPI assigned
- Sep 22, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3080 | WI | Primary |
Addresses
Primary practice location
638 N Madison St
Chilton, WI 53014-1018
Mailing address
638 N Madison St
Chilton, WI 53014-1018
Phone (920) 849-4889
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120517000206 | WI | Practitioner - Chiropractic | 2567625221 | Practice locations: Chilton, WI |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 1994
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
638 N Madison St
Chilton, WI 53014-1018
Phone (920) 849-4889
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287360000000",
"number": "1215923610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "638 N MADISON ST",
"city": "CHILTON",
"state": "WI",
"postal_code": "530141018",
"telephone_number": "920-849-4889",
"fax_number": "920-849-7071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "638 N MADISON ST",
"city": "CHILTON",
"state": "WI",
"postal_code": "530141018",
"telephone_number": "920-849-4889",
"fax_number": "920-849-7071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAUSSEE",
"first_name": "JODY",
"middle_name": "RAY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-22",
"last_updated": "2010-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "3080",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chilton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.