Active NPI
Chiropractic Center of Monroe, S.C.
- Chiropractor
- Monroe, WI
National Provider Identifier
1508073800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2609
- Legal business name
- CHIROPRACTIC CENTER OF MONROE, S.C.
- Practice address
- 765 10TH Avenue CT.
Monroe, WI 53566-1427 - Phone
- (608) 328-2225
- Fax
- (608) 328-2436
- NPI assigned
- May 17, 2007
- Last updated
- Feb 22, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. William David Spontak, D. C.
- Title
- Owner
- Phone
- (608) 328-2225
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2609 | WI | Primary |
Addresses
Primary practice location
765 10TH Avenue CT.
Monroe, WI 53566-1427
Mailing address
765 10TH Avenue CT.
Monroe, WI 53566-1427
Phone (608) 328-2225
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38848600 | Medicaid | WI |
National Provider Directory
National Provider DirectoryLocations
765 10th Avenue Ct
Monroe, WI 53566
Phone (608) 328-2225
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1329868800000",
"number": "1508073800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "765 10TH AVENUE CT.",
"city": "MONROE",
"state": "WI",
"postal_code": "535661427",
"telephone_number": "608-328-2225",
"fax_number": "608-328-2436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "765 10TH AVENUE CT.",
"city": "MONROE",
"state": "WI",
"postal_code": "535661427",
"telephone_number": "608-328-2225",
"fax_number": "608-328-2436"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHIROPRACTIC CENTER OF MONROE, S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-17",
"last_updated": "2012-02-22",
"status": "A",
"authorized_official_last_name": "SPONTAK",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "DAVID",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "608-328-2225",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D. C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "2609",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38848600",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monroe, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.