Active NPI
Renee Choquette
- Chiropractor
- Superior, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6954
- Practice address
- 2806 Belknap St
Superior, WI 54880-2341 - Phone
- (715) 392-4078
- NPI assigned
- Feb 2, 2022
- Last updated
- Jun 3, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 6954 | MN | Primary |
Addresses
Primary practice location
2806 Belknap St
Superior, WI 54880-2341
Mailing address
6755 Blaine Ave
Inver Grove Heights, MN 55076-1901
Phone (712) 577-0872
Other practice location 1
6755 Blaine Ave
Inver Grove Heights, MN 55076-1901
Phone (712) 577-0872
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2806 Belknap St
Superior, WI 54880-2341
Phone (715) 392-4078
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5763 | WI | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Superior Chiropractic and Wellness LLC | Current | Accepting new patients |
Locations
2806 Belknap St
Superior, WI 54880
Phone (715) 392-4078
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Superior, WI
- NPI 1073317293
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717372800000",
"number": "1477206191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6755 BLAINE AVE",
"city": "INVER GROVE HEIGHTS",
"state": "MN",
"postal_code": "550761901",
"telephone_number": "712-577-0872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2806 BELKNAP ST",
"city": "SUPERIOR",
"state": "WI",
"postal_code": "548802341",
"telephone_number": "715-392-4078"
}
],
"practiceLocations": [
{
"address_1": "6755 Blaine Ave",
"address_purpose": "LOCATION",
"city": "Inver Grove Heights",
"state": "MN",
"postal_code": "550761901",
"country_code": "US",
"telephone_number": "712-577-0872",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHOQUETTE",
"first_name": "RENEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-02",
"last_updated": "2024-06-03",
"certification_date": "2024-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "6954",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Superior, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.