Individual provider Active NPI

Heather Dawn Dalton, D.C.

  • Chiropractor
  • Elkhorn, WI
National Provider Identifier
1265475784
Registry record updated Aug 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4048-012 Issued in WI
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

Updated by the provider on Aug 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
38956300MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
4048-012WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Family Chiropractic, LLC Chiropractor CurrentSince May 1, 2008 Accepting new patients
Allied Health of Wisconsin, SC Chiropractor Past Accepting new patients
Scott D. Bautch D C S C Chiropractor PastSince Dec 31, 2015 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.

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.

Verify at the official NPI Registry.