NPIMap

Organization Active NPI

Three Rivers Chiropractic LLC

  • Chiropractor
  • Lacrosse, WI
National Provider Identifier
1295838670
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
THREE RIVERS CHIROPRACTIC LLC
Practice address
2946 Darling Court
Lacrosse, WI 54601
Phone
(608) 783-3040
Fax
(844) 248-2389
NPI assigned
Sep 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

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

Authorized official

Name
Chad W Schultz, DCNPI 1215970520
Title
Officer Co Owner
Phone
(608) 783-3040

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

2946 Darling Court
Lacrosse, WI 54601

Mailing address

2946 Darling Court
Lacrosse, WI 54601
Phone (608) 783-3040

Other identifiers 1

IdentifierTypeStateIssuer
DN3556OtherWIMEDICARE RAILROAD GROUP PIN

Other names 1

  • M.Y. Life Health Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050331001190 WI Part B Supplier - Clinic/Group Practice 9931156072 Receives reassigned benefits from 5 practitioners
Practice locations: Lacrosse, WI

National Provider Directory

National Provider Directory

Locations

2946 Darling Ct
La Crosse, WI 54601
Phone (608) 783-3040

2837 Darling Ct
La Crosse, WI 54601
Phone (608) 783-3040

1062 Oak Forest Dr
Ste 500
Onalaska, WI 54650
Phone (608) 519-4324

Practitioners & affiliated clinicians

Practitioners 9

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": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676332800000",
    "number": "1295838670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2946 DARLING COURT",
            "city": "LACROSSE",
            "state": "WI",
            "postal_code": "54601",
            "telephone_number": "608-783-3040",
            "fax_number": "844-248-2389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2946 DARLING COURT",
            "city": "LACROSSE",
            "state": "WI",
            "postal_code": "54601",
            "telephone_number": "608-783-3040",
            "fax_number": "844-248-2389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE RIVERS CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-07",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OFFICER CO OWNER",
        "authorized_official_telephone_number": "608-783-3040",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD GROUP PIN",
            "identifier": "DN3556",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "M.Y. Life Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "M.Y. Life Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lacrosse, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; 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.