NPIMap

Organization Active NPI

Scoliosis Center of la Crosse, LLC

  • Chiropractor
  • La Crosse, WI
National Provider Identifier
1487062881
Registry record updated Jul 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
367612 Issued in WI
Legal business name
SCOLIOSIS CENTER OF LA CROSSE, LLC
Practice address
1526 Rose St
Suite 101
La Crosse, WI 54603-2245
Phone
(608) 386-9328
Fax
(608) 783-5426
NPI assigned
Jul 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2014

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

Authorized official

Name
Dr. Benjamin John Breidenbach, DC
Title
Owner
Phone
(608) 386-9328

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 367612 WI Primary

Addresses

Primary practice location

1526 Rose St
Suite 101
La Crosse, WI 54603-2245

Mailing address

1526 Rose St
Suite 101
La Crosse, WI 54603-2245
Phone (608) 386-9328

National Provider Directory

National Provider Directory

Locations

1526 Rose St
Ste 101
La Crosse, WI 54603
Phone (608) 386-9328

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1406592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406592000000",
    "number": "1487062881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1526 ROSE ST",
            "address_2": "SUITE 101",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546032245",
            "telephone_number": "608-386-9328",
            "fax_number": "608-783-5426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1526 ROSE ST",
            "address_2": "SUITE 101",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546032245",
            "telephone_number": "608-386-9328",
            "fax_number": "608-783-5426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOLIOSIS CENTER OF LA CROSSE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-29",
        "last_updated": "2014-07-29",
        "status": "A",
        "authorized_official_last_name": "BREIDENBACH",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-386-9328",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "367612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Crosse, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2014; 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.