Progressive Spine Care LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4043-012 Issued in WI

Legal business name

PROGRESSIVE SPINE CARE LLC

Practice address

1115 Riders Club Rd
Onalaska, WI 54650-2079

Phone

(608) 519-2606

Fax

(608) 519-2607

NPI assigned

Apr 13, 2010

Last updated

May 4, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Adam Dunham, D.C.NPI 1801019294

Title

President

Phone

(608) 519-2606

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Adam Dunham, D.C.

  • Chiropractor
  • Onalaska, WI
  • NPI 1801019294
  NPD (past) Authorized official
• Paul Hermann Gasch, D.C.

  • Chiropractor
  • Onalaska, WI
  • NPI 1063629509
  NPD (past)

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

{
    "created_epoch": "1271116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272931200000",
    "number": "1407172604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 RIDERS CLUB RD",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546502079",
            "telephone_number": "608-519-2606",
            "fax_number": "608-519-2607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 RIDERS CLUB RD",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546502079",
            "telephone_number": "608-519-2606",
            "fax_number": "608-519-2607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE SPINE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-13",
        "last_updated": "2010-05-04",
        "status": "A",
        "authorized_official_last_name": "DUNHAM",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "608-519-2606",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4043-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Robert Polzin, D.D.S.
• Ryan Mark Powis
• Faith Pranno, PHARMD
• Ann Prell, NP
• Kelsie Marie Prins, DO
• Prosthetic Laboratories of Rochester, Inc.
• Gary Pulvermacher, RPH
• John S Purdue, OD
• Purpose Chiropractic LLC
• Brennan J Quinn, LAC

• Chiropractor in Onalaska, WI
• Providers in Onalaska, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2010; 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.