Organization Active NPI

Quednow Chiropractic Clinic LLC

  • Chiropractor
  • Medford, WI
National Provider Identifier
1285776773
Registry record updated Feb 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3065 Issued in WI
Legal business name
QUEDNOW CHIROPRACTIC CLINIC LLC
Practice address
206 S Main St
Medford, WI 54451-1843
Phone
(715) 965-3220
NPI assigned
Feb 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2016

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

Authorized official

Name
Carmen Louise QuednowNPI 1124173430
Title
DC Owner
Phone
(715) 965-3220

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 3065 WI Primary

Addresses

Primary practice location

206 S Main St
Medford, WI 54451-1843

Mailing address

206 S Main St
P.O. Box 242
Medford, WI 54451-1843
Phone (715) 965-3220

Other identifiers 1

IdentifierTypeStateIssuer
38875800MedicaidWI

National Provider Directory

National Provider Directory

Locations

206 S Main St
Medford, WI 54451
Phone (715) 748-1143

1501 Railroad Ave
Prentice, WI 54556
Phone (715) 428-2277

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455840000000",
    "number": "1285776773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 S MAIN ST",
            "address_2": "P.O. BOX 242",
            "city": "MEDFORD",
            "state": "WI",
            "postal_code": "544511843",
            "telephone_number": "715-965-3220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 S MAIN ST",
            "city": "MEDFORD",
            "state": "WI",
            "postal_code": "544511843",
            "telephone_number": "715-965-3220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEDNOW CHIROPRACTIC CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2016-02-19",
        "status": "A",
        "authorized_official_last_name": "QUEDNOW",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "DC OWNER",
        "authorized_official_telephone_number": "715-965-3220"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38875800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2016; 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.