Organization Active NPI

Care Full Chiropractic Incorporated

  • Chiropractor
  • Eau Claire, WI
National Provider Identifier
1508947060
Registry record updated Apr 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2898 Issued in WI
Legal business name
CARE FULL CHIROPRACTIC INCORPORATED
Practice address
1819 Brackett Ave
Eau Claire, WI 54701-4628
Phone
(715) 514-1450
Fax
(715) 514-1448
NPI assigned
Oct 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2012

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

Authorized official

Name
Dr. Jon Steven Shimoda, D.C.
Title
President
Phone
(715) 514-1450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2898 WI Primary

Addresses

Primary practice location

1819 Brackett Ave
Eau Claire, WI 54701-4628

Mailing address

1819 Brackett Ave
Eau Claire, WI 54701-4628
Phone (715) 514-1450

National Provider Directory

National Provider Directory

Locations

1819 Brackett Ave
Eau Claire, WI 54701
Phone (715) 514-1450

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333584000000",
    "number": "1508947060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 BRACKETT AVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547014628",
            "telephone_number": "715-514-1450",
            "fax_number": "715-514-1448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 BRACKETT AVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547014628",
            "telephone_number": "715-514-1450",
            "fax_number": "715-514-1448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE FULL CHIROPRACTIC INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2012-04-05",
        "status": "A",
        "authorized_official_last_name": "SHIMODA",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "715-514-1450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.