Active NPI
Jeffrey Dachauer, LMT
- Massage Therapist
- Madison, WI
National Provider Identifier
1407392897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 13541-146
- Practice address
- 44 E Mifflin St
Madison, WI 53703-4205 - Phone
- (309) 242-7763
- NPI assigned
- Jan 10, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 13541-146 | WI | Primary |
Addresses
Primary practice location
44 E Mifflin St
Madison, WI 53703-4205
Mailing address
206 North St
#5
Madison, WI 53704-4984
Phone (309) 242-7763
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13541-146 | WI | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484006400000",
"number": "1407392897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 NORTH ST",
"address_2": "#5",
"city": "MADISON",
"state": "WI",
"postal_code": "537044984",
"telephone_number": "309-242-7763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 E MIFFLIN ST",
"city": "MADISON",
"state": "WI",
"postal_code": "537034205",
"telephone_number": "309-242-7763"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DACHAUER",
"first_name": "JEFFREY",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-01-10",
"last_updated": "2017-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WI",
"license": "13541-146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.