NPIMap

Organization Active NPI

Chiroplus Complementary Healthcare Centers, LLC

  • Chiropractor
  • Wautoma, WI
National Provider Identifier
1285773820
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3020 Issued in WI
Legal business name
CHIROPLUS COMPLEMENTARY HEALTHCARE CENTERS, LLC
Practice address
W7841 State Rd 21 &73
Wautoma, WI 54982
Phone
(920) 787-0081
Fax
(920) 787-0083
NPI assigned
Feb 6, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Colleen Pomplun, DCNPI 1013072750
Title
General Partner
Phone
(920) 294-3130

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
Chiropractor 111N00000X 3020 WI Primary

Addresses

Primary practice location

W7841 State Rd 21 &73
Wautoma, WI 54982

Mailing address

PO Box 458
Green Lake, WI 54941-0458
Phone (920) 294-3130

Other identifiers 1

IdentifierTypeStateIssuer
38873800MedicaidWI

National Provider Directory

National Provider Directory
Tax ID family
Chiroplus Complementary Healthcare Centers2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

W7841 State Road 21 73
Wautoma, WI 54982
Phone (920) 787-0081

Practitioners & affiliated clinicians

Practitioners 7

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": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285773820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 458",
            "city": "GREEN LAKE",
            "state": "WI",
            "postal_code": "549410458",
            "telephone_number": "920-294-3130",
            "fax_number": "920-294-3238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W7841 STATE RD 21 &73",
            "city": "WAUTOMA",
            "state": "WI",
            "postal_code": "54982",
            "telephone_number": "920-787-0081",
            "fax_number": "920-787-0083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPLUS COMPLEMENTARY HEALTHCARE CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POMPLUN",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "920-294-3130",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38873800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wautoma, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.