Active NPI
Chiro One Wellness Center of Hudson LLC
- Chiropractor
- Hudson, WI
National Provider Identifier
1437829348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- CHIRO ONE WELLNESS CENTER OF HUDSON LLC
- Practice address
- 1615 Maxwell Dr Ste a
Hudson, WI 54016-8712 - Phone
- (630) 468-1824
- NPI assigned
- Sep 14, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Matthew Frahm
- Title
- DC
- Phone
- (715) 940-0800
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
1615 Maxwell Dr Ste a
Hudson, WI 54016-8712
Mailing address
PO Box 74008519
#1406
Chicago, IL 60674-8519
Phone (630) 320-6400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1615 Maxwell Dr
Ste A
Hudson, WI 54016
Phone (715) 940-0800
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Bradenton, FL
- NPI 1801060819
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631577600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1632096000000",
"number": "1437829348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 74008519",
"address_2": "#1406",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606748519",
"telephone_number": "630-320-6400",
"fax_number": "630-468-1478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1615 MAXWELL DR STE A",
"city": "HUDSON",
"state": "WI",
"postal_code": "540168712",
"telephone_number": "630-468-1824"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHIRO ONE WELLNESS CENTER OF HUDSON LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-14",
"last_updated": "2021-09-20",
"certification_date": "2021-09-20",
"status": "A",
"authorized_official_last_name": "FRAHM",
"authorized_official_first_name": "MATTHEW",
"authorized_official_title_or_position": "DC",
"authorized_official_telephone_number": "715-940-0800"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hudson, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; 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.