Organization Active NPI

Unwin Chiropractic & Wellness Center, S.C.

  • Chiropractor
  • Verona, WI
National Provider Identifier
1235278771
Registry record updated Jul 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3193 Issued in WI
Legal business name
UNWIN CHIROPRACTIC & WELLNESS CENTER, S.C.
Practice address
212 E Verona Ave
Suite B
Verona, WI 53593-1223
Phone
(608) 848-1800
Fax
(608) 848-1802
NPI assigned
Feb 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2011

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

Authorized official

Name
Dr. Jill G Unwin, D.C.NPI 1487615035
Title
President
Phone
(608) 848-1800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3193 WI Primary

Addresses

Primary practice location

212 E Verona Ave
Suite B
Verona, WI 53593-1223

Mailing address

212 E Verona Ave
Suite B
Verona, WI 53593-1223
Phone (608) 848-1800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060315000516 WI Part B Supplier - Clinic/Group Practice 2365459302 Receives reassigned benefits from 1 practitioner
Practice locations: Verona, WI

National Provider Directory

National Provider Directory

Locations

102 N Franklin St
Verona, WI 53593
Phone (608) 848-1800

212 E Verona Ave
Ste B
Verona, WI 53593
Phone (608) 848-1800

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311897600000",
    "number": "1235278771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 E VERONA AVE",
            "address_2": "SUITE B",
            "city": "VERONA",
            "state": "WI",
            "postal_code": "535931223",
            "telephone_number": "608-848-1800",
            "fax_number": "608-848-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 E VERONA AVE",
            "address_2": "SUITE B",
            "city": "VERONA",
            "state": "WI",
            "postal_code": "535931223",
            "telephone_number": "608-848-1800",
            "fax_number": "608-848-1802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNWIN CHIROPRACTIC & WELLNESS CENTER, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2011-07-29",
        "status": "A",
        "authorized_official_last_name": "UNWIN",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "608-848-1800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Verona, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.