Active NPI
Heather Dawn Dalton, D.C.
- Chiropractor
- Elkhorn, WI
National Provider Identifier
1265475784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4048-012
- Practice address
- 210 Oconnor Dr Ste 105
Elkhorn, WI 53121-4542 - Phone
- (262) 723-2739
- NPI assigned
- Jun 13, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4048-012 | WI | Primary |
Addresses
Primary practice location
210 Oconnor Dr Ste 105
Elkhorn, WI 53121-4542
Mailing address
210 Oconnor Dr Ste 105
Elkhorn, WI 53121-4542
Phone (262) 723-2739
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38956300 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041117000395 | WI | Practitioner - Chiropractic | 2466416631 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
210 Oconnor Dr
Suite 105
Elkhorn, WI 53121-4542
Phone (262) 723-2739
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4048-012 | WI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apex Family Chiropractic, LLC | Chiropractor | Current | Accepting new patients |
| Allied Health of Wisconsin, SC | Chiropractor | Past | Accepting new patients |
| Scott D. Bautch D C S C | Chiropractor | Past | Accepting new patients |
Locations
210 Oconnor Dr
Ste 105
Elkhorn, WI 53121
Phone (262) 723-2739
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Elkhorn, WI
- NPI 1689848814
-
- Chiropractor
- Wausau, WI
- NPI 1487605051
-
- Chiropractor
- Wausau, WI
- NPI 1316315153
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375660800000",
"number": "1265475784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 OCONNOR DR STE 105",
"city": "ELKHORN",
"state": "WI",
"postal_code": "531214542",
"telephone_number": "262-723-2739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 OCONNOR DR STE 105",
"city": "ELKHORN",
"state": "WI",
"postal_code": "531214542",
"telephone_number": "262-723-2739"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALTON",
"first_name": "HEATHER",
"middle_name": "DAWN",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-13",
"last_updated": "2013-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "4048-012",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38956300",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elkhorn, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.