Active NPI
Daniel Joseph Eoriatti, D.C.
- Chiropractor
- Black River Falls, WI
National Provider Identifier
1386789246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3409-012
- Practice address
- 438 N Water St
Black River Falls, WI 54615-1005 - Phone
- (715) 284-5551
- Fax
- (715) 284-9164
- NPI assigned
- Feb 20, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3409-012 | WI | Primary |
Addresses
Primary practice location
438 N Water St
Black River Falls, WI 54615-1005
Mailing address
438 N Water St
Black River Falls, WI 54615-1005
Phone (715) 284-5551
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38992500 | Medicaid | WI | |
| 38930300 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
640 Commerce St
Suite a
West Salem, WI 54669-1180
Phone (608) 786-3304
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3409-012 | WI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Salem Chiropractic Clinic, Inc. | Current | Accepting new patients | |
| Jessen Family Chiropractic Clinic Inc | Chiropractor | Past | Accepting new patients |
Locations
640 Commerce St
West Salem, WI 54669
Phone (608) 786-3304
640 Commerce St
Ste A
West Salem, WI 54669
Phone (608) 786-3304
Organizations & group practices 2
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.
-
- Health Service Clinic/Center
- West Salem, WI
- NPI 1477727931
-
- Chiropractor
- Black River Falls, WI
- NPI 1114099462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1386789246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "438 N WATER ST",
"city": "BLACK RIVER FALLS",
"state": "WI",
"postal_code": "546151005",
"telephone_number": "715-284-5551",
"fax_number": "715-284-9164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "438 N WATER ST",
"city": "BLACK RIVER FALLS",
"state": "WI",
"postal_code": "546151005",
"telephone_number": "715-284-5551",
"fax_number": "715-284-9164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EORIATTI",
"first_name": "DANIEL",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-20",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "3409-012",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38992500",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38930300",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Black River Falls, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.