Organization Active NPI

Natural Balance Chiropractic

  • Chiropractor
  • Madison, WI
National Provider Identifier
1548625320
Registry record updated Dec 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4962 Issued in WI
Legal business name
NATURAL BALANCE CHIROPRACTIC
Practice address
2639 University Ave
Ste 200
Madison, WI 53705-3750
Phone
(608) 438-2152
NPI assigned
Dec 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2015

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

Authorized official

Name
Dr. Chelsea Prothero, D.C.NPI 1932447224
Title
Owner
Phone
(608) 438-2152

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4962 WI Primary

Addresses

Primary practice location

2639 University Ave
Ste 200
Madison, WI 53705-3750

Mailing address

2639 University Ave
Ste 200
Madison, WI 53705-3750
Phone (608) 438-2152

Other identifiers 1

IdentifierTypeStateIssuer
38735500MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160225000019 WI Part B Supplier - Clinic/Group Practice 6002111325 Receives reassigned benefits from 1 practitioner
Practice locations: Madison, WI

National Provider Directory

National Provider Directory

Locations

2639 University Ave
Ste 200
Madison, WI 53705
Phone (608) 438-2152

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1450742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450742400000",
    "number": "1548625320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2639 UNIVERSITY AVE",
            "address_2": "STE 200",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537053750",
            "telephone_number": "608-438-2152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2639 UNIVERSITY AVE",
            "address_2": "STE 200",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537053750",
            "telephone_number": "608-438-2152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATURAL BALANCE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-22",
        "last_updated": "2015-12-22",
        "status": "A",
        "authorized_official_last_name": "PROTHERO",
        "authorized_official_first_name": "CHELSEA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-438-2152",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38735500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2015; 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.