Organization Active NPI

Zolper Family Chiropractic LLC

  • Chiropractor
  • Baraboo, WI
National Provider Identifier
1396010567
Registry record updated Mar 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3772-12 Issued in WI
Legal business name
ZOLPER FAMILY CHIROPRACTIC LLC
Practice address
701 Ash St
Baraboo, WI 53913-2139
Phone
(608) 355-7999
NPI assigned
Mar 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2012

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

Authorized official

Name
Dr. Michael R Zolper, D.C.NPI 1669519096
Title
Owner
Phone
(608) 355-7999

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: 193200000X MULTI-SPECIALTY GROUP 111N00000X 3772-12 WI Primary

Addresses

Primary practice location

701 Ash St
Baraboo, WI 53913-2139

Mailing address

701 Ash St
Baraboo, WI 53913-2139
Phone (608) 355-7999

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120618000027 WI Part B Supplier - Clinic/Group Practice 0345404687 Receives reassigned benefits from 2 practitioners
Practice locations: Baraboo, WI

National Provider Directory

National Provider Directory

Locations

626 14th St
#B
Baraboo, WI 53913
Phone (608) 355-7999

701 Ash St
Baraboo, WI 53913
Phone (608) 355-0233

Practitioners & affiliated clinicians

Practitioners 2

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": "1332201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332201600000",
    "number": "1396010567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 ASH ST",
            "city": "BARABOO",
            "state": "WI",
            "postal_code": "539132139",
            "telephone_number": "608-355-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 ASH ST",
            "city": "BARABOO",
            "state": "WI",
            "postal_code": "539132139",
            "telephone_number": "608-355-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZOLPER FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-20",
        "last_updated": "2012-03-20",
        "status": "A",
        "authorized_official_last_name": "ZOLPER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-355-7999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3772-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baraboo, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; 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.