NPIMap

Organization Active NPI

Absolute Health Chiropractic SC

Doing business as Absolute Health Chiropractic

  • Chiropractor
  • Marshfield, WI
National Provider Identifier
1396101416
Registry record updated Jan 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4998 Issued in WI
Legal business name
ABSOLUTE HEALTH CHIROPRACTIC SC
Doing business as
Absolute Health Chiropractic
Practice address
503 S Cherry Ave
Suite 111
Marshfield, WI 54449-4276
Phone
(715) 898-1050
Fax
(715) 384-6992
NPI assigned
Jan 5, 2016
Last updated
Jan 5, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2016

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

Authorized official

Name
Dr. Kyle Moeller, DCNPI 1457774499
Title
Owner
Phone
(715) 898-1050

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
Chiropractor 111N00000X 4998 WI Primary

Addresses

Primary practice location

503 S Cherry Ave
Suite 111
Marshfield, WI 54449-4276

Mailing address

503 S Cherry Ave
Suite 111
Marshfield, WI 54449-4276
Phone (715) 898-1050

Other names 1

  • Absolute Health Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160202001390 WI Part B Supplier - Clinic/Group Practice 5294039814 Receives reassigned benefits from 3 practitioners
Practice locations: Marshfield, WI

National Provider Directory

National Provider Directory

Locations

503 S Cherry Ave
Ste 111
Marshfield, WI 54449
Phone (715) 389-1262

503 S Cherry Ave
Ste 3
Marshfield, WI 54449
Phone (715) 898-1050

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1451952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451952000000",
    "number": "1396101416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 S CHERRY AVE",
            "address_2": "SUITE 111",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544494276",
            "telephone_number": "715-898-1050",
            "fax_number": "715-384-6992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 S CHERRY AVE",
            "address_2": "SUITE 111",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544494276",
            "telephone_number": "715-898-1050",
            "fax_number": "715-384-6992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABSOLUTE HEALTH CHIROPRACTIC SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-05",
        "last_updated": "2016-01-05",
        "status": "A",
        "authorized_official_last_name": "MOELLER",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-898-1050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Absolute Health Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marshfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; 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.