Organization Active NPI

Tulachka Life Chiropractic, S.C.

  • Chiropractor
  • Sauk City, WI
National Provider Identifier
1306163472
Registry record updated Aug 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4571-012 Issued in WI
Legal business name
TULACHKA LIFE CHIROPRACTIC, S.C.
Practice address
515 Phillips Blvd
Sauk City, WI 53583-1542
Phone
(608) 643-2744
Fax
(608) 643-0489
NPI assigned
Apr 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2010

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

Authorized official

Name
Dr. Jessica Marie Tulachka, D.C.
Title
Chiropractor
Phone
(608) 643-2744

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4571-012 WI Primary

Addresses

Primary practice location

515 Phillips Blvd
Sauk City, WI 53583-1542

Mailing address

515 Phillips Blvd
Sauk City, WI 53583-1542
Phone (608) 643-2744

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.

NPI Registry JSON

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

{
    "created_epoch": "1272412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281484800000",
    "number": "1306163472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 PHILLIPS BLVD",
            "city": "SAUK CITY",
            "state": "WI",
            "postal_code": "535831542",
            "telephone_number": "608-643-2744",
            "fax_number": "608-643-0489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 PHILLIPS BLVD",
            "city": "SAUK CITY",
            "state": "WI",
            "postal_code": "535831542",
            "telephone_number": "608-643-2744",
            "fax_number": "608-643-0489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TULACHKA LIFE CHIROPRACTIC, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-28",
        "last_updated": "2010-08-11",
        "status": "A",
        "authorized_official_last_name": "TULACHKA",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "608-643-2744",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4571-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sauk City, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2010; 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.