Defined Spine Chiropractic & Wellness, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4271-012 Issued in WI

Legal business name

DEFINED SPINE CHIROPRACTIC & WELLNESS, LLC

Practice address

407 Laser Dr
Somerset, WI 54025-7430

Phone

(715) 247-4009

Fax

(715) 247-3366

NPI assigned

Jan 21, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Casey Christopher Brennan Goessl, D.C.NPI 1598820664

Title

Owner/President

Phone

(715) 247-4009

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 1

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

• Casey Christopher Brennan Goessl, D.C.

  • Chiropractor
  • Somerset, WI
  • NPI 1598820664
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1264032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264032000000",
    "number": "1518298199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 LASER DR",
            "city": "SOMERSET",
            "state": "WI",
            "postal_code": "540257430",
            "telephone_number": "715-247-4009",
            "fax_number": "715-247-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 LASER DR",
            "city": "SOMERSET",
            "state": "WI",
            "postal_code": "540257430",
            "telephone_number": "715-247-4009",
            "fax_number": "715-247-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEFINED SPINE CHIROPRACTIC & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-21",
        "last_updated": "2010-01-21",
        "status": "A",
        "authorized_official_last_name": "BRENNAN GOESSL",
        "authorized_official_first_name": "CASEY",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "715-247-4009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4271-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38972500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Boorman, LICSW, APSW
• Casey Christopher Brennan Goessl, D.C.
• Kate Elizabeth Bruckmueller, RDN
• Sara Burghaus, NP
• Cerulean Investments Inc
• Rodney Alan Franks, D.C.
• Heather Germain, OTR/L
• Group Health Plan, Inc (HealthPartners Clinic Somerset)
• Group Health, Inc. (HealthPartners Clinic Somerset)
• Jane Ann Hinton, P.T.

• Chiropractor in Somerset, WI
• Providers in Somerset, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.