Organization Active NPI

Sekanick Chiropractic Comprehensive Spinal Clinic Inc

  • Rehabilitation Chiropractor
  • Madison, WI
National Provider Identifier
1508012014
Registry record updated Jul 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
Legal business name
SEKANICK CHIROPRACTIC COMPREHENSIVE SPINAL CLINIC INC
Practice address
4602 S Biltmore Lane
Suite 100
Madison, WI 53718
Phone
(608) 241-1700
Fax
(608) 241-1705
NPI assigned
Aug 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2010

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

Authorized official

Name
Mr. Jeffrey B Sekanick
Title
President
Phone
(715) 234-9211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X Primary

Addresses

Primary practice location

4602 S Biltmore Lane
Suite 100
Madison, WI 53718

Mailing address

1967 19TH Ave
Rice Lake, WI 54868-8529
Phone (608) 241-1700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090304000734 WI Part B Supplier - Clinic/Group Practice 0749346450 Receives reassigned benefits from 2 practitioners
Practice locations: Madison, WI

National Provider Directory

National Provider Directory

Locations

1111 Deming Way
Ste 201
Madison, WI 53717
Phone (608) 833-9600

4602 S Biltmore Ln
Ste 100
Madison, WI 53718
Phone (608) 241-1700

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1218758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278460800000",
    "number": "1508012014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1967 19TH AVE",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "548688529",
            "telephone_number": "608-241-1700",
            "fax_number": "608-241-1705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4602 S BILTMORE LANE",
            "address_2": "SUITE 100",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "53718",
            "telephone_number": "608-241-1700",
            "fax_number": "608-241-1705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEKANICK CHIROPRACTIC COMPREHENSIVE SPINAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-15",
        "last_updated": "2010-07-07",
        "status": "A",
        "authorized_official_last_name": "SEKANICK",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "715-234-9211",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 7, 2010; 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.