Organization Active NPI

Wissota Chiropractic

  • Chiropractor
  • Chippewa Falls, WI
National Provider Identifier
1245496728
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
WISSOTA CHIROPRACTIC
Practice address
17191 County Highway X
Chippewa Falls, WI 54729-8057
Phone
(715) 723-3333
Fax
(715) 723-3309
NPI assigned
Aug 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Erica Christensen
Title
Office Manager
Phone
(715) 723-3333

Specialties & licenses 1

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

Addresses

Primary practice location

17191 County Highway X
Chippewa Falls, WI 54729-8057

Mailing address

17191 County Highway X
Chippewa Falls, WI 54729-8057
Phone (715) 723-3333

Other practice location 1

17191 County Highway X
Chippewa Falls, WI 54729-8057
Phone (715) 723-3333

Other identifiers 1

IdentifierTypeStateIssuer
000075854OtherWIMEDICARE GROUP NPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080903000503 WI Part B Supplier - Clinic/Group Practice 9436225125 Receives reassigned benefits from 1 practitioner
Practice locations: Chippewa Falls, WI

National Provider Directory

National Provider Directory

Locations

17191 County Highway X
Chippewa Fls, WI 54729
Phone (715) 723-3333

Practitioners & affiliated clinicians

Practitioners 9

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

NPI Registry JSON

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

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1245496728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17191 COUNTY HIGHWAY X",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547298057",
            "telephone_number": "715-723-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17191 COUNTY HIGHWAY X",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547298057",
            "telephone_number": "715-723-3333",
            "fax_number": "715-723-3309"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17191 County Highway X",
            "address_purpose": "LOCATION",
            "city": "Chippewa Falls",
            "state": "WI",
            "postal_code": "547298057",
            "country_code": "US",
            "telephone_number": "715-723-3333",
            "fax_number": "715-723-3309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WISSOTA CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-04",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "715-723-3333"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NPI",
            "identifier": "000075854",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chippewa Falls, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.