Active NPI
Elizabeth Hood, D.C.
- Chiropractor
- Wauwatosa, WI
National Provider Identifier
1487780334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4290
- Practice address
- 2645 N Mayfair Rd
Suite 140
Wauwatosa, WI 53226-1304 - Phone
- (414) 476-2225
- Fax
- (414) 476-2805
- NPI assigned
- Feb 26, 2007
- 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 | 4290 | WI | Primary |
Addresses
Primary practice location
2645 N Mayfair Rd
Suite 140
Wauwatosa, WI 53226-1304
Mailing address
2645 N Mayfair Rd
Suite 140
Wauwatosa, WI 53226-1304
Phone (414) 476-2225
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38974600 | Medicaid | WI |
Other names 1
- Dr. Elizabeth Boldt
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070320000447 | WI | Practitioner - Chiropractic | 6901909589 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2645 N Mayfair Rd
Wauwatosa, WI 53226-1304
Phone (414) 476-2225
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4290 | WI | MD | Chiropractor |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706054400000",
"number": "1487780334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2645 N MAYFAIR RD",
"address_2": "SUITE 140",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532261304",
"telephone_number": "414-476-2225",
"fax_number": "414-476-2805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2645 N MAYFAIR RD",
"address_2": "SUITE 140",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532261304",
"telephone_number": "414-476-2225",
"fax_number": "414-476-2805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOOD",
"first_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-26",
"last_updated": "2024-01-24",
"certification_date": "2024-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "4290",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38974600",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "BOLDT",
"prefix": "DR.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Wauwatosa, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.