Organization Active NPI

Thrive Chiropractic and Wellness Center, LLC

Doing business as Advanced Spinal Care, LLC

  • Chiropractor
  • Onalaska, WI
National Provider Identifier
1427383157
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4536-012 Issued in WI
Legal business name
THRIVE CHIROPRACTIC AND WELLNESS CENTER, LLC
Doing business as
Advanced Spinal Care, LLC
Practice address
1052 Oak Forest Dr Ste 210
Onalaska, WI 54650-3427
Phone
(608) 783-0384
NPI assigned
Oct 14, 2009
Last updated
May 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Authorized official

Name
Dr. Amber Tenile Pergande, DCNPI 1558564286
Title
Owner
Phone
(253) 381-1208

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
Chiropractor 111N00000X 4536-012 WI Primary

Addresses

Primary practice location

1052 Oak Forest Dr Ste 210
Onalaska, WI 54650-3427

Mailing address

1052 Oak Forest Dr Ste 210
Onalaska, WI 54650-3706
Phone (253) 381-1208

Other names 1

  • Advanced Spinal Care, LLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100415000871 WI Part B Supplier - Clinic/Group Practice 0143357541 Receives reassigned benefits from 1 practitioner
Practice locations: Onalaska, WI

National Provider Directory

National Provider Directory

Locations

1052 Oak Forest Dr
Ste 210
Onalaska, WI 54650
Phone (608) 783-0384

Practitioners & affiliated clinicians

Practitioners 1

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": "1255478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715817600000",
    "number": "1427383157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1052 OAK FOREST DR STE 210",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546503706",
            "telephone_number": "253-381-1208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1052 OAK FOREST DR STE 210",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546503427",
            "telephone_number": "608-783-0384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE CHIROPRACTIC AND WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-14",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A",
        "authorized_official_last_name": "PERGANDE",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "TENILE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-381-1208",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4536-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Spinal Care, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Onalaska, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; 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.