Organization Active NPI

Core Chiropractic & Wellness Center, LLC

  • Chiropractor
  • Burlington, WI
National Provider Identifier
1295039071
Registry record updated Oct 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4699012 Issued in WI
Legal business name
CORE CHIROPRACTIC & WELLNESS CENTER, LLC
Practice address
116 N Dodge St Ste 2
Burlington, WI 53105-1963
Phone
(608) 780-2691
NPI assigned
Jan 7, 2011
Last updated
Oct 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2026

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

Authorized official

Name
Raechel A Moran, D.C.
Title
Member
Phone
(608) 780-2691

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4699012 WI Primary

Addresses

Primary practice location

116 N Dodge St Ste 2
Burlington, WI 53105-1963

Mailing address

116 N Dodge St Ste 2
Burlington, WI 53105-1963

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110408000218 WI Part B Supplier - Clinic/Group Practice 0749464105 Receives reassigned benefits from 1 practitioner
Practice locations: Burlington, WI

National Provider Directory

National Provider Directory

Locations

116 N Dodge St
Ste 2
Burlington, WI 53105
Phone (262) 767-0500

1709 S Teut Rd Ste D
Burlington, WI 53105
Phone (262) 767-0500

Practitioners & affiliated clinicians

Practitioners 1

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": "1294358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792022400000",
    "number": "1295039071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 N DODGE ST STE 2",
            "city": "BURLINGTON",
            "state": "WI",
            "postal_code": "531051963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 N DODGE ST STE 2",
            "city": "BURLINGTON",
            "state": "WI",
            "postal_code": "531051963",
            "telephone_number": "608-780-2691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE CHIROPRACTIC & WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-07",
        "last_updated": "2026-10-15",
        "certification_date": "2026-10-15",
        "status": "A",
        "authorized_official_last_name": "MORAN",
        "authorized_official_first_name": "RAECHEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "608-780-2691",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4699012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2026; 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.