NPIMap

Organization Active NPI

Gonzalez Family Chiropractic LLC.

  • Chiropractor
  • Woodruff, WI
National Provider Identifier
1295181774
Registry record updated May 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3390-12 Issued in WI
Legal business name
GONZALEZ FAMILY CHIROPRACTIC LLC.
Practice address
1105 4TH Avenue
Woodruff, WI 54568-2061
Phone
(715) 356-1606
Fax
(715) 356-2170
NPI assigned
May 13, 2016
Last updated
May 13, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2016

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

Authorized official

Name
Dr. Guillermo Eduardo Gonzalez, D.C.NPI 1023114246
Title
Member/Owner
Phone
(715) 356-1606

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 3390-12 WI Primary
Nutrition ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NN1001X 3390-12 WI

Addresses

Primary practice location

1105 4TH Avenue
Woodruff, WI 54568-2061

Mailing address

1105 4TH Avenue
PO Box 2061
Woodruff, WI 54568-2061
Phone (715) 356-1606

National Provider Directory

National Provider Directory

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": "1463097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463097600000",
    "number": "1295181774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 4TH AVENUE",
            "address_2": "PO BOX 2061",
            "city": "WOODRUFF",
            "state": "WI",
            "postal_code": "545682061",
            "telephone_number": "715-356-1606",
            "fax_number": "715-356-2170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 4TH AVENUE",
            "city": "WOODRUFF",
            "state": "WI",
            "postal_code": "545682061",
            "telephone_number": "715-356-1606",
            "fax_number": "715-356-2170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GONZALEZ FAMILY CHIROPRACTIC LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-13",
        "last_updated": "2016-05-13",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "GUILLERMO",
        "authorized_official_middle_name": "EDUARDO",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "715-356-1606",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3390-12",
            "primary": true
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "WI",
            "license": "3390-12",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodruff, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.