NPIMap

Organization Active NPI

Wilder Chiropractic, Inc.

Doing business as Madison Chiropractic East Madison Chiropractic West

  • Clinic/Center
  • Madison, WI
National Provider Identifier
1457410458
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
1707 Issued in WI
Legal business name
WILDER CHIROPRACTIC, INC.
Doing business as
Madison Chiropractic East Madison Chiropractic West
Practice address
1702 Eagan Rd
Madison, WI 53704-3702
Phone
(608) 243-1234
Fax
(608) 243-3186
NPI assigned
Dec 6, 2006
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Jeffrey M. Wilder, DCNPI 1417929621
Title
President
Phone
(608) 243-1234

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 1707 WI Primary

Addresses

Primary practice location

1702 Eagan Rd
Madison, WI 53704-3702

Mailing address

1702 Eagan Rd
Madison, WI 53704-3702
Phone (608) 243-1234

Other names 1

  • Madison Chiropractic East Madison Chiropractic West Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

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": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1457410458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 EAGAN RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537043702",
            "telephone_number": "608-243-1234",
            "fax_number": "608-243-3186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 EAGAN RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537043702",
            "telephone_number": "608-243-1234",
            "fax_number": "608-243-3186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILDER CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "WILDER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "608-243-1234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WI",
            "license": "1707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Madison Chiropractic East Madison Chiropractic West",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.