Organization Active NPI

Chiro One Wellness Center of Hudson LLC

  • Chiropractor
  • Hudson, WI
National Provider Identifier
1437829348
Registry record updated Sep 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
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

Updated by the provider on Sep 20, 2021

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

Authorized official

Name
Matthew FrahmNPI 1801060819
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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20211104002810 WI Part B Supplier - Clinic/Group Practice 6002205408 Receives reassigned benefits from 1 practitioner
Practice locations: Hudson, WI

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.