NPIMap

Organization Active NPI

Madison Spine and Wellness

  • Chiropractor
  • Monona, WI
National Provider Identifier
1508193657
Registry record updated Nov 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MADISON SPINE AND WELLNESS
Practice address
802 W Broadway Ste 104
Monona, WI 53713-1866
Phone
(608) 224-1419
NPI assigned
Nov 11, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2009

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

Authorized official

Name
Buffie Rome
Title
Operations Manager
Phone
(504) 467-0302

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

802 W Broadway Ste 104
Monona, WI 53713-1866

Mailing address

1919 Veterans Boulevard Suite 200
Kenner, LA 70062

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1257897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257897600000",
    "number": "1508193657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 VETERANS BOULEVARD SUITE 200",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "70062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 W BROADWAY STE 104",
            "city": "MONONA",
            "state": "WI",
            "postal_code": "537131866",
            "telephone_number": "608-224-1419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON SPINE AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-11",
        "last_updated": "2009-11-11",
        "status": "A",
        "authorized_official_last_name": "ROME",
        "authorized_official_first_name": "BUFFIE",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "504-467-0302"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monona, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2009; 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.