NPIMap

Organization Active NPI

Pro Motion Functional Chiropractic and Rehabilitation, LLC

  • Chiropractor
  • Madison, WI
National Provider Identifier
1275998866
Registry record updated Dec 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4956-12 Issued in WI
Legal business name
PRO MOTION FUNCTIONAL CHIROPRACTIC AND REHABILITATION, LLC
Practice address
8517 Excelsior Dr
Suite 109
Madison, WI 53717-1994
Phone
(608) 630-3925
NPI assigned
Dec 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2015

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

Authorized official

Name
Dr. John Dee King, D.C.
Title
Owner
Phone
(563) 639-4464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4956-12 WI Primary

Addresses

Primary practice location

8517 Excelsior Dr
Suite 109
Madison, WI 53717-1994

Mailing address

8517 Excelsior Dr
Suite 109
Madison, WI 53717-1994
Phone (608) 630-3925

Other names 1

  • Pro Motion Chiropractic and Rehab Other name

National Provider Directory

National Provider Directory

Locations

8517 Excelsior Dr
Ste 109
Madison, WI 53717
Phone (608) 630-3925

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1450828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450828800000",
    "number": "1275998866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8517 EXCELSIOR DR",
            "address_2": "SUITE 109",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537171994",
            "telephone_number": "608-630-3925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8517 EXCELSIOR DR",
            "address_2": "SUITE 109",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537171994",
            "telephone_number": "608-630-3925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO MOTION FUNCTIONAL CHIROPRACTIC AND REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-23",
        "last_updated": "2015-12-23",
        "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": "563-639-4464",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4956-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pro Motion Chiropractic and Rehab",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Dec 23, 2015; 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.