Pace Chiropractic Office SC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

219912 Issued in WI

Legal business name

PACE CHIROPRACTIC OFFICE SC

Practice address

128 East 2ND Street
Westfield, WI 53964-0095

Phone

(608) 296-2717

Fax

(608) 296-2643

NPI assigned

Feb 1, 2007

Last updated

Aug 22, 2020By 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

Mr. Darrell J Wright

Title

Business Manager

Phone

(608) 296-2717

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Practitioners 6

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.

• Annette Faith Gouker, DC

  • Chiropractor
  • Westfield, WI
  • NPI 1437203023
  Medicare reassignment NPD
• Terry Ann Pace, DC

  • Chiropractor
  • Westfield, WI
  • NPI 1053465708
  Medicare reassignment NPD
• Taylor Rae Wegner, DC

  • Chiropractor
  • Westfield, WI
  • NPI 1164388070
  Medicare reassignment NPD
• Terry Lin Wepner, DC

  • Chiropractor
  • Berlin, WI
  • NPI 1720154677
  Medicare reassignment NPD
• Eric Steven Boettcher, D.C.

  • Chiropractor
  • Redgranite, WI
  • NPI 1750306957
  NPD (past)
• Michael D Presser, DC

  • Chiropractor
  • Westfield, WI
  • NPI 1285101675
  NPD (past)

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245378660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95",
            "city": "WESTFIELD",
            "state": "WI",
            "postal_code": "539640095",
            "telephone_number": "608-296-2717",
            "fax_number": "608-296-2643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 EAST 2ND STREET",
            "city": "WESTFIELD",
            "state": "WI",
            "postal_code": "539640095",
            "telephone_number": "608-296-2717",
            "fax_number": "608-296-2643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACE CHIROPRACTIC OFFICE SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "DARRELL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "608-296-2717",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "219912",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "304012",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northland Community Services CSP
• Northland Community Services Inc
• Northland Community Services Inc
• Northland Community Services Inc.
• Northland Home Health
• Terry Ann Pace, DC
• Michael D Presser, DC
• Proactive MD Wi SC (Proactive MD Brakebush Westfield Health Center)
• Proactive MD Wi SC (Proactive MD Brakebush Westfield Health Center)
• Robert Neil Ramotar, DDS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.