Preferred Chiropractic, SC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2820 Issued in WI

Legal business name

PREFERRED CHIROPRACTIC, SC

Practice address

97 S Pioneer Rd
Suite 100
Fond Du Lac, WI 54935-3873

Phone

(920) 924-9600

Fax

(920) 924-9360

NPI assigned

Nov 27, 2006

Organization subpart

No

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

Authorized official

Name

Jeffrey L. Walters, D.C.NPI 1699753517

Title

President

Phone

(920) 924-9600

Specialties & licenses 1

Addresses

Other names 1

• Preferred Chiropractic Former legal business name

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey L Walters, D.C.

  • Chiropractor
  • Fond Du Lac, WI
  • NPI 1699753517
  Medicare reassignment NPD Authorized official
• Christine Marie Storley, DC

  • Chiropractor
  • Sun Prairie, WI
  • NPI 1447348594
  NPD (past)

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278892800000",
    "number": "1285700930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1516",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549361516",
            "telephone_number": "920-924-9600",
            "fax_number": "920-924-9360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 S PIONEER RD",
            "address_2": "SUITE 100",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549353873",
            "telephone_number": "920-924-9600",
            "fax_number": "920-924-9360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED CHIROPRACTIC, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2010-07-12",
        "status": "A",
        "authorized_official_last_name": "WALTERS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-924-9600",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Preferred Chiropractic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Positive Clinical Concepts
• Madison Post
• Warren M Post, MD
• Laura Raicu Prado, PSYD
• Nancy Diane Preder, DNP, APRN, BC
• Premier Care of Wisconsin, LLC.
• Premier Care of Wisconsin, LLC.
• Primrose Senior Living, Inc.
• Terra I Pritchard, MA, LPC-IT
• Mark Probasco, DPT

• Chiropractor in Fond Du Lac, WI
• Providers in Fond Du Lac, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; 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.