Organization Active NPI

Simply Health Chiropractic LLC

Doing business as Simply Health Chiropractic

  • Chiropractor
  • Spring Green, WI
National Provider Identifier
1326608787
Registry record updated Jun 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SIMPLY HEALTH CHIROPRACTIC LLC
Doing business as
Simply Health Chiropractic
Practice address
E5028 US Highway 14 and 23 Ste 103
Spring Green, WI 53588-9692
Phone
(608) 588-0333
NPI assigned
Jun 18, 2019
Last updated
Jun 18, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2019

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

Authorized official

Name
Rebecca Weidner, DCNPI 1215335047
Title
Owner, Chiropractor
Phone
(608) 604-8859

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
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

E5028 US Highway 14 and 23 Ste 103
Spring Green, WI 53588-9692

Mailing address

E5028 US Highway 14 and 23 Ste 103
Spring Green, WI 53588-9692
Phone (608) 588-0333

Other names 1

  • Simply Health Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190816000119 WI Part B Supplier - Clinic/Group Practice 7911234752 Receives reassigned benefits from 1 practitioner
Practice locations: Spring Green, WI

National Provider Directory

National Provider Directory

Locations

550 Sunrise Dr
Ste 105
Spring Green, WI 53588
Phone (608) 588-0333

E5028 US Highway 14
Ste 103
Spring Green, WI 53588
Phone (608) 588-0333

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": "1560816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560816000000",
    "number": "1326608787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "E5028 US HIGHWAY 14 AND 23 STE 103",
            "city": "SPRING GREEN",
            "state": "WI",
            "postal_code": "535889692",
            "telephone_number": "608-588-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "E5028 US HIGHWAY 14 AND 23 STE 103",
            "city": "SPRING GREEN",
            "state": "WI",
            "postal_code": "535889692",
            "telephone_number": "608-588-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLY HEALTH CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-18",
        "last_updated": "2019-06-18",
        "status": "A",
        "authorized_official_last_name": "WEIDNER",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OWNER, CHIROPRACTOR",
        "authorized_official_telephone_number": "608-604-8859",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Simply Health Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spring Green, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; 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.