Organization Active NPI

Champion Chiropractic LLC

Doing business as Champion Chiropractic

  • Clinic/Center
  • Stevens Point, WI
National Provider Identifier
1497279368
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CHAMPION CHIROPRACTIC LLC
Doing business as
Champion Chiropractic
Practice address
1115 Wilshire Blvd
Stevens Point, WI 54481-2257
Phone
(715) 341-2644
Fax
(715) 544-0870
NPI assigned
Aug 1, 2017
Last updated
Apr 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Authorized official

Name
Brittany Rose LarocqueNPI 1164946026
Title
Owner, D.C.
Phone
(715) 341-2644

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1115 Wilshire Blvd
Stevens Point, WI 54481-2257

Mailing address

1115 Wilshire Blvd
Stevens Point, WI 54481-2257
Phone (715) 341-2644

Other names 1

  • CHAMPION CHIROPRACTIC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170911001208 WI Part B Supplier - Clinic/Group Practice 3870866064 Receives reassigned benefits from 1 practitioner
Practice locations: Stevens Point, WI

National Provider Directory

National Provider Directory

Locations

1115 Wilshire Blvd
Stevens Point, WI 54481
Phone (715) 341-2644

3049 Michigan Ave
Stevens Point, WI 54481
Phone (715) 341-2644

Practitioners & affiliated clinicians

Practitioners 2

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": "1501545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743984000000",
    "number": "1497279368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 WILSHIRE BLVD",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544812257",
            "telephone_number": "715-341-2644",
            "fax_number": "715-544-0870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 WILSHIRE BLVD",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544812257",
            "telephone_number": "715-341-2644",
            "fax_number": "715-544-0870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPION CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-01",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A",
        "authorized_official_last_name": "LAROCQUE",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "OWNER, D.C.",
        "authorized_official_telephone_number": "715-341-2644"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHAMPION CHIROPRACTIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stevens Point, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; 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.