Falls Healing Arts, S.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2611 Issued in WI

Legal business name

FALLS HEALING ARTS, S.C.

Practice address

275 North Main Street
Sheboygan Falls, WI 53085-3315

Phone

(920) 467-8690

Fax

(920) 467-0373

NPI assigned

Aug 31, 2006

Last updated

Aug 22, 2020By 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

Mrs. Melissa J Dittbrender

Title

Insurance Manager

Phone

(920) 467-8690

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427160456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 STATE ROAD 32",
            "city": "SHEBOYGAN FALLS",
            "state": "WI",
            "postal_code": "530853315",
            "telephone_number": "920-467-8690",
            "fax_number": "920-467-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 NORTH MAIN STREET",
            "city": "SHEBOYGAN FALLS",
            "state": "WI",
            "postal_code": "530853315",
            "telephone_number": "920-467-8690",
            "fax_number": "920-467-0373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FALLS HEALING ARTS, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DITTBRENDER",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "INSURANCE MANAGER",
        "authorized_official_telephone_number": "920-467-8690",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38991800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Sheboygan Falls, WI
• Providers in Sheboygan Falls, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.