NPIMap

Organization Active NPI

Menomonie Chiropractic Center SC

  • Chiropractor
  • Menomonie, WI
National Provider Identifier
1275558009
Registry record updated Jan 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2849 Issued in WI
Legal business name
MENOMONIE CHIROPRACTIC CENTER SC
Practice address
3120 Schneider Ave SE
Ste # 5
Menomonie, WI 54751-2591
Phone
(715) 232-8858
Fax
(715) 232-8868
NPI assigned
Jul 13, 2006
Last updated
Jan 24, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2011

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

Authorized official

Name
Dr. Christian N Meyer, DCNPI 1700075066
Title
Partner Owner
Phone
(715) 232-8858

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2793 WI
Chiropractor 111N00000X 2849 WI Primary

Addresses

Primary practice location

3120 Schneider Ave SE
Ste # 5
Menomonie, WI 54751-2591

Mailing address

3120 Schneider Ave SE
Ste # 5
Menomonie, WI 54751-2591
Phone (715) 232-8858

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110114001086 WI Part B Supplier - Clinic/Group Practice 0648469098 Receives reassigned benefits from 3 practitioners
Practice locations: Menomonie, WI

National Provider Directory

National Provider Directory

Locations

3120 Schneider Ave SE
Ste 5
Menomonie, WI 54751
Phone (715) 232-8858

Practitioners & affiliated clinicians

Practitioners 3

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": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295827200000",
    "number": "1275558009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 SCHNEIDER AVE SE",
            "address_2": "STE # 5",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547512591",
            "telephone_number": "715-232-8858",
            "fax_number": "715-232-8868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 SCHNEIDER AVE SE",
            "address_2": "STE # 5",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547512591",
            "telephone_number": "715-232-8858",
            "fax_number": "715-232-8868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENOMONIE CHIROPRACTIC CENTER SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2011-01-24",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PARTNER OWNER",
        "authorized_official_telephone_number": "715-232-8858",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2793",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menomonie, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2011; 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.