Imperium Chiropractic SC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3324-12 Issued in WI

Legal business name

IMPERIUM CHIROPRACTIC SC

Practice address

W8646 US Highway 8
Ladysmith, WI 54848-9501

Phone

(715) 532-6394

NPI assigned

Dec 29, 2014

Last updated

Feb 9, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thomas A Tozer, DCNPI 1548367295

Title

Owner

Phone

(715) 532-6394

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Tax ID family

Imperium Chiropractic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Imperium Chiropractic

  • Chiropractor
  • Eau Claire, WI
  • NPI 1881141737
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Imperium Chiropractic

  • Chiropractor
  • Eau Claire, WI
  • NPI 1881141737
  NPPES parent name

Practitioners 5

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.

• Thomas A Tozer, DC

  • Chiropractor
  • Ladysmith, WI
  • NPI 1548367295
  Medicare reassignment Care Compare group NPD Authorized official
• Tonya Ray Prokop-Nette, D.C.

  • Chiropractor
  • Ladysmith, WI
  • NPI 1770971608
  Medicare reassignment Care Compare group NPD
• William Henry Zimmer-Wakeley, DC

  • Chiropractor
  • Poplar, WI
  • NPI 1801484050
  Medicare reassignment Care Compare group NPD
• Jason Kenwood Keltgen, D.C.

  • Chiropractor
  • Sturgeon Bay, WI
  • NPI 1154526663
  NPD (past)
• Jerome Davis Rundall, D.C.

  • Chiropractor
  • Durand, WI
  • NPI 1023481942
  NPD (past)

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

{
    "created_epoch": "1419811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612828800000",
    "number": "1346638384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W8646 US HIGHWAY 8",
            "city": "LADYSMITH",
            "state": "WI",
            "postal_code": "548489501",
            "telephone_number": "715-532-6394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W8646 US HIGHWAY 8",
            "city": "LADYSMITH",
            "state": "WI",
            "postal_code": "548489501",
            "telephone_number": "715-532-6394"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3301 Golf Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Eau Claire",
            "state": "WI",
            "postal_code": "547019085",
            "country_code": "US",
            "telephone_number": "715-514-4302",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 Belknap St Ste 111",
            "address_purpose": "LOCATION",
            "city": "Superior",
            "state": "WI",
            "postal_code": "548802818",
            "country_code": "US",
            "telephone_number": "715-609-2155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IMPERIUM CHIROPRACTIC SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-29",
        "last_updated": "2021-02-09",
        "certification_date": "2021-01-22",
        "status": "A",
        "authorized_official_last_name": "TOZER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-532-6394",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3324-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jon E Hamel, RPH
• Allen S. Hanson, MD
• Patricia A Hautamaki, PT
• Sheila Patricia Heiser, APNP
• Frank Herbes, P.T. ASSISTANT
• Indianhead Community Action Agency Incorporated (Indianhead Home Health Care Agency)
• Indianhead Community Action Agency Incorporated
• Lynnette Kay Jenness, SAC-IT
• Robin Johnson, P.T.A.
• Chandler Jean Jones, DMD

• Chiropractor in Ladysmith, WI
• Providers in Ladysmith, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; 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.