Advanced Chiropractic and Laser Centers, Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2231-012 Issued in WI

Legal business name

ADVANCED CHIROPRACTIC AND LASER CENTERS, INC

Doing business as

Advanced Chiropractic

Practice address

3 E Main St
Black River Falls, WI 54615-1408

Phone

(715) 284-5550

NPI assigned

Sep 29, 2015

Last updated

Nov 25, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tim Shaw, DC

Title

Owner

Phone

(715) 284-5500

Specialties & licenses 1

Addresses

Other names 1

• Advanced Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joel J Gartner, DC

  • Chiropractor
  • Black River Falls, WI
  • NPI 1477659670
  Medicare reassignment Care Compare group NPD
• Ryan James Krokstrom, D.C.

  • Chiropractor
  • Marshfield, WI
  • NPI 1851747703
  Medicare reassignment Care Compare group NPD
• Steven C Spaniol, DC

  • Chiropractor
  • New Lisbon, WI
  • NPI 1700982436
  Medicare reassignment Care Compare group NPD
• Craig Zalizniak, DC

  • Chiropractor
  • Medford, WI
  • NPI 1649902750
  Medicare reassignment Care Compare group NPD
• Angela Lund, D.C.

  • Chiropractor
  • Rothschild, WI
  • NPI 1538600499
  Medicare reassignment NPD
• Guillermo Eduardo Gonzalez, D.C.

  • Chiropractor
  • Woodruff, WI
  • NPI 1023114246
  NPD (past)
• Carlie Anne Lorentz, D.C.

  • Chiropractor
  • Deland, FL
  • NPI 1326348996
  NPD (past)
• Thomas Hamlin Nelson, D.C.

  • Chiropractor
  • Willmar, MN
  • NPI 1770689820
  NPD (past)

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

{
    "created_epoch": "1443484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448409600000",
    "number": "1548630841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 E MAIN ST",
            "city": "BLACK RIVER FALLS",
            "state": "WI",
            "postal_code": "546151408",
            "telephone_number": "715-284-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 E MAIN ST",
            "city": "BLACK RIVER FALLS",
            "state": "WI",
            "postal_code": "546151408",
            "telephone_number": "715-284-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CHIROPRACTIC AND LASER CENTERS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-29",
        "last_updated": "2015-11-25",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-284-5500",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2231-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 1311 Tyler Street Operating Company, LLC (Atrium Post Acute Care of Black River Falls)
• Bhavani S Achunala, DDS
• Kenneth Paul Adler, M.D.
• Advanced Chiropractic Clinics Inc (Advanced Chiropractic)
• Advanced Mobility LLC
• Autumn L Alekna, APSW, MSW
• Rebecca L Amberg, LM RN
• Kevin M Anderson, M.D.

• Chiropractor in Black River Falls, WI
• Providers in Black River Falls, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.