Daneel Edstrom, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6145-12 Issued in WI

Practice address

144 N Adams St
Saint Croix Falls, WI 54024-9176

Phone

(715) 483-3913

NPI assigned

Jan 30, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bont Chiropractic, LLC

  • Chiropractor
  • Saint Croix Falls, WI
  • NPI 1528146032
  NPD

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

{
    "created_epoch": "1706572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1376305706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14471 FURUBY RD",
            "city": "CENTER CITY",
            "state": "MN",
            "postal_code": "550129618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 N ADAMS ST",
            "city": "SAINT CROIX FALLS",
            "state": "WI",
            "postal_code": "540249176",
            "telephone_number": "715-483-3913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDSTROM",
        "first_name": "DANEEL",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-30",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "6145-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Dobbertin, PHARM.D.
• Megan Doble, ATC
• Marcelle N Dodge, LCSW, CSAC
• Sandra K Dolphin, O.D.
• Denise Douglass
• Marta Susan Engelking, MD
• Colleen E Erb, PSY. D.
• Jamie Fahrenkrug
• Patricia A Fettes, PHD
• Bradley Alan Foss, MSW

• Chiropractor in Saint Croix Falls, WI
• Providers in Saint Croix Falls, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.