Clover Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4089-012 Issued in WI

Legal business name

CLOVER CHIROPRACTIC LLC

Practice address

1576 Lyon Dr
Neenah, WI 54956-5069

Phone

(920) 722-7947

Fax

(920) 722-7949

NPI assigned

Dec 19, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Clover, D.C.NPI 1043297641

Title

President

Phone

(920) 722-7947

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• WISCONSIN SPINAL CORRECTION CENTER LLC Other name

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew B Clover, DC

  • Chiropractor
  • Neenah, WI
  • NPI 1043297641
  Medicare reassignment Care Compare group NPD Authorized official
• Daniel James Guler, DC

  • Chiropractor
  • Neenah, WI
  • NPI 1184727521
  Medicare reassignment Care Compare group NPD
• Kenneth E Munson, DC

  • Chiropractor
  • Appleton, WI
  • NPI 1093808537
  NPD (past)

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364256000000",
    "number": "1407919525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 246",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549570246",
            "telephone_number": "920-722-7947",
            "fax_number": "920-722-7949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1576 LYON DR",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549565069",
            "telephone_number": "920-722-7947",
            "fax_number": "920-722-7949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLOVER CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2013-03-26",
        "status": "A",
        "authorized_official_last_name": "CLOVER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-722-7947",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4089-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38966100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WISCONSIN SPINAL CORRECTION CENTER LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Children'S Service Society of Wisconsin
• Chiropractic Health of Neenah, LLC
• Man Y Choi, MD
• Jeremiah Christman
• Kristine Clark, OTR
• Matthew B Clover, DC
• Rachel Coady, RDN, IFNCP
• Elizabeth A Coenen, APNP
• Katie D Coenen, OT
• Brian A. Cole, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; 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.