NPIMap

Organization Active NPI

Eau Claire Chiropractic, SC

  • Clinic/Center
  • Eau Claire, WI
National Provider Identifier
1407035686
Registry record updated Nov 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
1754 Issued in WI
Legal business name
EAU CLAIRE CHIROPRACTIC, SC
Practice address
4606 Commerce Valley Rd
Suite 209
Eau Claire, WI 54701-7074
Phone
(715) 832-6616
Fax
(715) 832-6454
NPI assigned
Oct 24, 2007
Last updated
Nov 7, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2012

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

Authorized official

Name
Dr. Chris Henry Hougen, D.C.NPI 1790854123
Title
President
Phone
(715) 832-6616

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
Clinic/Center 261Q00000X 1754 WI Primary

Addresses

Primary practice location

4606 Commerce Valley Rd
Suite 209
Eau Claire, WI 54701-7074

Mailing address

4606 Commerce Valley Rd
Suite 209
Eau Claire, WI 54701-7074
Phone (715) 832-6616

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040508000213 WI Part B Supplier - Clinic/Group Practice 3072502707 Receives reassigned benefits from 4 practitioners
Practice locations: Eau Claire, WI

National Provider Directory

National Provider Directory

Locations

4606 Commerce Valley Rd
Ste 209
Eau Claire, WI 54701
Phone (715) 832-6616

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": "1193184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352246400000",
    "number": "1407035686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4606 COMMERCE VALLEY RD",
            "address_2": "SUITE 209",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547017074",
            "telephone_number": "715-832-6616",
            "fax_number": "715-832-6454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4606 COMMERCE VALLEY RD",
            "address_2": "SUITE 209",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547017074",
            "telephone_number": "715-832-6616",
            "fax_number": "715-832-6454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAU CLAIRE CHIROPRACTIC, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-24",
        "last_updated": "2012-11-07",
        "status": "A",
        "authorized_official_last_name": "HOUGEN",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "715-832-6616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WI",
            "license": "1754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.