Organization Active NPI

Emcubed, LLC

  • Chiropractor
  • Fitchburg, WI
National Provider Identifier
1356840326
Registry record updated Feb 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5254-12 Issued in WI
Legal business name
EMCUBED, LLC
Practice address
2690 Research Park Dr Ste a
Fitchburg, WI 53711-4921
Phone
(608) 273-2222
NPI assigned
Feb 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2018

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

Authorized official

Name
Dr. Richard M Merrion, DCNPI 1467626887
Title
Owner
Phone
(630) 442-9697

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 5254-12 WI Primary

Addresses

Primary practice location

2690 Research Park Dr Ste a
Fitchburg, WI 53711-4921

Mailing address

2690 Research Park Dr Ste a
Fitchburg, WI 53711-4921
Phone (608) 273-2222

Other names 1

  • New Health Chiropractic and Integrated Healthcare Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180605000986 WI Part B Supplier - Clinic/Group Practice 1850656364 Receives reassigned benefits from 1 practitioner
Practice locations: Fitchburg, WI

National Provider Directory

National Provider Directory

Locations

2690 Research Park Dr
Ste J
Fitchburg, WI 53711
Phone (630) 442-9697

2690 Research Park Dr
Ste A
Fitchburg, WI 53711
Phone (608) 273-2222

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": "1517875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517875200000",
    "number": "1356840326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2690 RESEARCH PARK DR STE A",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537114921",
            "telephone_number": "608-273-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2690 RESEARCH PARK DR STE A",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537114921",
            "telephone_number": "608-273-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMCUBED, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-06",
        "last_updated": "2018-02-06",
        "status": "A",
        "authorized_official_last_name": "MERRION",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-442-9697",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5254-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Health Chiropractic and Integrated Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fitchburg, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2018; 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.