Organization Active NPI

Verona Chiropractic, LLC

  • Chiropractor
  • Verona, WI
National Provider Identifier
1295088508
Registry record updated Oct 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
VERONA CHIROPRACTIC, LLC
Practice address
413 W Verona Ave
Verona, WI 53593-1318
Phone
(608) 630-2645
NPI assigned
Oct 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2012

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

Authorized official

Name
Dr. Lindsey Reitzner, D.C.NPI 1881968683
Title
Co Owner/ Chiropractor
Phone
(608) 630-2645

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 Primary

Addresses

Primary practice location

413 W Verona Ave
Verona, WI 53593-1318

Mailing address

PO Box 930226
Verona, WI 53593-0226

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130408000057 WI Part B Supplier - Clinic/Group Practice 6800031253 Receives reassigned benefits from 3 practitioners
Practice locations: Verona, WI

National Provider Directory

National Provider Directory

Locations

413 W Verona Ave
Verona, WI 53593
Phone (608) 497-3000

Practitioners & affiliated clinicians

Practitioners 4

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": "1351036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351036800000",
    "number": "1295088508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 930226",
            "city": "VERONA",
            "state": "WI",
            "postal_code": "535930226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 W VERONA AVE",
            "city": "VERONA",
            "state": "WI",
            "postal_code": "535931318",
            "telephone_number": "608-630-2645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERONA CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-24",
        "last_updated": "2012-10-24",
        "status": "A",
        "authorized_official_last_name": "REITZNER",
        "authorized_official_first_name": "LINDSEY",
        "authorized_official_title_or_position": "CO OWNER/ CHIROPRACTOR",
        "authorized_official_telephone_number": "608-630-2645",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Verona, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2012; 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.