Organization Active NPI

Chiropractic Center of Monroe, S.C.

  • Chiropractor
  • Monroe, WI
National Provider Identifier
1508073800
Registry record updated Feb 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2609 Issued in WI
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, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
38848600MedicaidWI

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.