McCulloch Chiropractic, S.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3190-012 Issued in WI

Legal business name

MCCULLOCH CHIROPRACTIC, S.C.

Practice address

396 Red Cedar St
Menomonie, WI 54751-2386

Phone

(715) 231-2533

Fax

(715) 231-2534

NPI assigned

Jan 20, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Timothy Scott McCulloch, D.C.NPI 1811029994

Title

Chiropractor

Phone

(715) 231-2533

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 2

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

• Timothy S McCulloch, DC

  • Chiropractor
  • Menomonie, WI
  • NPI 1811029994
  Medicare reassignment NPD Authorized official
• Chad W Preston, DC

  • Chiropractor
  • Menomonie, WI
  • NPI 1720167521
  NPD (past)

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

{
    "created_epoch": "1232409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232409600000",
    "number": "1548407174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "396 RED CEDAR ST",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547512386",
            "telephone_number": "715-231-2533",
            "fax_number": "715-231-2534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "396 RED CEDAR ST",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547512386",
            "telephone_number": "715-231-2533",
            "fax_number": "715-231-2534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCULLOCH CHIROPRACTIC, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-20",
        "last_updated": "2009-01-20",
        "status": "A",
        "authorized_official_last_name": "MCCULLOCH",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "715-231-2533",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3190-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mayo Clinic Health System-Northwest Wisconsin Region, Inc.
• Mayo Clinic Health System-Northwest Wisconsin Region, Inc.
• Mayo Clinic Health System-Northwest Wisconsin Region, Inc.
• Mayo Foundation for Medical Education & Research
• Zachary McCarty
• Timothy S McCulloch, DC
• MCHS Hospitals Inc
• Paula Marie McKee-Ghalib, RN
• Raemalee McMahon
• Paul D. McNally, D.O.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2009; 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.