Organization Active NPI

Healthmax Chiropractic of Hudson, LLC

  • Chiropractor
  • Hudson, WI
National Provider Identifier
1265822118
Registry record updated Jan 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4589-12 Issued in WI
Legal business name
HEALTHMAX CHIROPRACTIC OF HUDSON, LLC
Practice address
1810 Webster Square, Ste. 5
Hudson, WI 54016-9324
Phone
(651) 306-6955
NPI assigned
Jan 30, 2015
Last updated
Jan 30, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2015

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

Authorized official

Name
Dr. Jamie Cortese, DCNPI 1578885307
Title
Practitioner
Phone
(715) 574-2317

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4589-12 WI Primary

Addresses

Primary practice location

1810 Webster Square, Ste. 5
Hudson, WI 54016-9324

Mailing address

1810 Webster Square, Ste. 5
Hudson, WI 54016-9324
Phone (651) 306-6955

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150618002234 WI Part B Supplier - Clinic/Group Practice 7719298611 Receives reassigned benefits from 1 practitioner
Practice locations: Hudson, WI

National Provider Directory

National Provider Directory

Locations

1810 Webster St
Ste 5
Hudson, WI 54016
Phone (715) 808-0445

Practitioners & affiliated clinicians

Practitioners 1

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": "1422576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422576000000",
    "number": "1265822118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 WEBSTER SQUARE, STE. 5",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540169324",
            "telephone_number": "651-306-6955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 WEBSTER SQUARE, STE. 5",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540169324",
            "telephone_number": "651-306-6955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHMAX CHIROPRACTIC OF HUDSON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-30",
        "last_updated": "2015-01-30",
        "status": "A",
        "authorized_official_last_name": "CORTESE",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "PRACTITIONER",
        "authorized_official_telephone_number": "715-574-2317",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4589-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2015; 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.