Amber T Pergande, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4536-012 Issued in WI

Practice address

1052 Oak Forest Dr
Suite 210
Onalaska, WI 54650-3427

Phone

(608) 783-0384

NPI assigned

Jun 8, 2007

Last updated

Dec 22, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2006

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Thrive Chiropractic and Wellness Center, LLC

  dba Advanced Spinal Care, LLC

  • Chiropractor
  • Onalaska, WI
  • NPI 1427383157
  Medicare reassignment Authorized official
• Advanced Spinal Care, Inc

  • Chiropractor
  • Graham, WA
  • NPI 1770786493
  NPD (past)

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1558564286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1052 OAK FOREST DR STE 210",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546503706",
            "telephone_number": "608-783-0384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1052 OAK FOREST DR",
            "address_2": "SUITE 210",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546503427",
            "telephone_number": "608-783-0384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERGANDE",
        "first_name": "AMBER",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-08",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034748",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4536-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Harold Peck
• Leo Matthew Pedretti
• Jason Pendleton, D.D.S
• Matt Penzenstadler, BSN, SRNA
• Jacob Peot, D.C.
• Richard E Perry, MD
• Kari Lynn Peteler, D.C.
• Charles Peters, MD
• Katherine Frances Peters, NP
• Caroline Peterson, PA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.