Van Roo Chiropractic, LLC

Primary specialty

Orthopedic ChiropractorTaxonomy code 111NX0800X

License

3432 Issued in WI

Legal business name

VAN ROO CHIROPRACTIC, LLC

Practice address

910 Countryside Pkwy
Mondovi, WI 54755-6000

Phone

(715) 926-6001

Fax

(715) 926-6002

NPI assigned

Jun 4, 2014

Last updated

Jun 4, 2014By 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

Dr. Andrew B. Van Roo, D.C.NPI 1396845905

Title

Owner

Phone

(715) 926-6001

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Interoperability endpoints

• Direct secure messaging: avanroo@vrcl0001.direct.chirotouch.md

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.

• Andrew B Vanroo, DC

  • Chiropractor
  • Mondovi, WI
  • NPI 1396845905
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401840000000",
    "number": "1346653623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 COUNTRYSIDE PKWY",
            "city": "MONDOVI",
            "state": "WI",
            "postal_code": "547556000",
            "telephone_number": "715-926-6001",
            "fax_number": "715-926-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 COUNTRYSIDE PKWY",
            "city": "MONDOVI",
            "state": "WI",
            "postal_code": "547556000",
            "telephone_number": "715-926-6001",
            "fax_number": "715-926-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN ROO CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-04",
        "last_updated": "2014-06-04",
        "status": "A",
        "authorized_official_last_name": "VAN ROO",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-926-6001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "WI",
            "license": "3432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38901000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Stoughton
• Rick W Stoughton, MD
• Summit Chiropractic, LLC
• Tri-County Memorial Hospital Inc (Emplify Health)
• Tri-County Memorial Hospital, Inc.
• Tresa S Van Roo, M.S., CCC-SLP
• Andrew B Vanroo, DC
• Jeremy Todd Vogel, DDS
• Renee A Weber, MS PT
• Western Wisconsin Music in Medicine, LLC

• Orthopedic Chiropractor in Mondovi, WI
• Providers in Mondovi, WI by specialty
• Orthopedic Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; 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.