Whitewater Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3407-012 Issued in WI

Legal business name

WHITEWATER CHIROPRACTIC, LLC

Practice address

214 S 2ND St Apt 101
Whitewater, WI 53190-2083

Phone

(262) 472-0209

Fax

(262) 472-0211

NPI assigned

Sep 2, 2010

Last updated

Sep 2, 2010By 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. Peggy Sue Linneman, DCNPI 1568424232

Title

Owner

Phone

(262) 472-0209

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: dr.peg@wcl0004.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.

• Peggy Sue Linneman, DC

  • Chiropractor
  • Whitewater, WI
  • NPI 1568424232
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1283385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283385600000",
    "number": "1366759979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 S 2ND ST APT 101",
            "city": "WHITEWATER",
            "state": "WI",
            "postal_code": "531902083",
            "telephone_number": "262-472-0209",
            "fax_number": "262-472-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 S 2ND ST APT 101",
            "city": "WHITEWATER",
            "state": "WI",
            "postal_code": "531902083",
            "telephone_number": "262-472-0209",
            "fax_number": "262-472-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITEWATER CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-02",
        "last_updated": "2010-09-02",
        "status": "A",
        "authorized_official_last_name": "LINNEMAN",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-472-0209",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3407-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38900000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roberta Jo Wedl, MD
• Connie F Weihert
• Ann Marie Welch
• Michael James Wells, RPH
• Rita Rae Welter, R.N.
• Whitewater Family Dentistry
• Whitewater Fire Department Inc
• Whitewater Unified School District
• Whitewater Veterinary Hospital SC
• Donald L Williams, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2010; 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.