NPIMap

Organization Active NPI

Paulsrud Chiropractic LLC

Doing business as Paulsrud Chiropractic

  • Chiropractor
  • Eau Claire, WI
National Provider Identifier
1255388633
Registry record updated Dec 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PAULSRUD CHIROPRACTIC LLC
Doing business as
Paulsrud Chiropractic
Practice address
2627 N Clairemont Ave
Eau Claire, WI 54703-2405
Phone
(715) 552-3232
Fax
(715) 552-3233
NPI assigned
May 30, 2006
Last updated
Dec 9, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2010

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

Authorized official

Name
Dr. Teresa M Paulsrud, D.C.
Title
Owner
Phone
(715) 552-3232

Specialties & licenses 1

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

Addresses

Primary practice location

2627 N Clairemont Ave
Eau Claire, WI 54703-2405

Mailing address

2627 N Clairemont Ave
Eau Claire, WI 54703-2405
Phone (715) 552-3232

Other names 1

  • Paulsrud Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060612000158 WI Part B Supplier - Clinic/Group Practice 2567474588 Receives reassigned benefits from 6 practitioners
Practice locations: Eau Claire, WI

National Provider Directory

National Provider Directory

Locations

2627 N Clairemont Ave
Eau Claire, WI 54703
Phone (715) 552-3232

Practitioners & affiliated clinicians

Practitioners 7

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": "1148947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291852800000",
    "number": "1255388633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2627 N CLAIREMONT AVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547032405",
            "telephone_number": "715-552-3232",
            "fax_number": "715-552-3233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2627 N CLAIREMONT AVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547032405",
            "telephone_number": "715-552-3232",
            "fax_number": "715-552-3233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAULSRUD CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-30",
        "last_updated": "2010-12-09",
        "status": "A",
        "authorized_official_last_name": "PAULSRUD",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-552-3232",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paulsrud Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eau Claire, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2010; 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.