NPIMap

Organization Active NPI

Capital Sport and Spine, LLC

Doing business as Capital Sport and Spine

  • Chiropractor
  • Madison, WI
National Provider Identifier
1275112385
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CAPITAL SPORT AND SPINE, LLC
Doing business as
Capital Sport and Spine
Practice address
329 West Mifflin Street
Madison, WI 53703-5370
Phone
(608) 630-3925
NPI assigned
Apr 6, 2021
Last updated
Apr 6, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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

Authorized official

Name
Dr. John Dee King, DCNPI 1326472671
Title
Owner
Phone
(608) 630-3925

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 Primary

Addresses

Primary practice location

329 West Mifflin Street
Madison, WI 53703-5370

Mailing address

6750 Park Ridge Dr Apt a
Madison, WI 53719-2246
Phone (563) 639-4464

Other practice location 1

341 State St
Madison, WI 53703-2057
Phone (608) 630-3925

Other names 1

  • Capital Sport and Spine Doing business as

National Provider Directory

National Provider Directory

Locations

329 W Mifflin St
Madison, WI 53703
Phone (608) 630-3925

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": "1617667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617667200000",
    "number": "1275112385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6750 PARK RIDGE DR APT A",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537192246",
            "telephone_number": "563-639-4464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 WEST MIFFLIN STREET",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537035370",
            "telephone_number": "608-630-3925"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "341 State St",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537032057",
            "country_code": "US",
            "telephone_number": "608-630-3925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CAPITAL SPORT AND SPINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-06",
        "last_updated": "2021-04-06",
        "certification_date": "2021-03-15",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-630-3925",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Capital Sport and Spine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.