Organization Active NPI

Anderson Chiropractic Office,S.C.

  • Chiropractor
  • Mauston, WI
National Provider Identifier
1255614301
Registry record updated Jun 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ANDERSON CHIROPRACTIC OFFICE,S.C.
Practice address
115 E State St
Mauston, WI 53948-1344
Phone
(608) 524-2616
NPI assigned
Sep 26, 2011
Last updated
Jun 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2026

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

Authorized official

Name
Tracy Benesh
Title
Clinic Director
Phone
(608) 524-2616

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1736 WI
Chiropractor 111N00000X Primary

Addresses

Primary practice location

115 E State St
Mauston, WI 53948-1344

Mailing address

115 E State St
Mauston, WI 53948-1344
Phone (608) 524-2616

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070322000006 WI Part B Supplier - Clinic/Group Practice 8628171105 Receives reassigned benefits from 5 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Reedsburg, WI

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Anderson Chiropractic Clinics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1104B Academy St
Elroy, WI 53929
Phone (608) 462-2225

115 E State St
Mauston, WI 53948
Phone (608) 524-2616

346 2nd St
Reedsburg, WI 53959
Phone (608) 524-2616

Practitioners & affiliated clinicians

Practitioners 4

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": "1316995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782604800000",
    "number": "1255614301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E STATE ST",
            "city": "MAUSTON",
            "state": "WI",
            "postal_code": "539481344",
            "telephone_number": "608-524-2616",
            "fax_number": "608-524-3697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E STATE ST",
            "city": "MAUSTON",
            "state": "WI",
            "postal_code": "539481344",
            "telephone_number": "608-524-2616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON CHIROPRACTIC OFFICE,S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-26",
        "last_updated": "2026-06-28",
        "certification_date": "2026-06-28",
        "status": "A",
        "authorized_official_last_name": "BENESH",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "608-524-2616"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "1736",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mauston, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2026; 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.