Clearwater Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4229-012 Issued in WI

Legal business name

CLEARWATER CHIROPRACTIC LLC

Practice address

2907 Mall Dr
Eau Claire, WI 54701-6866

Phone

(715) 831-2111

Fax

(715) 831-2115

NPI assigned

Nov 14, 2011

Last updated

Nov 14, 2011By 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

David Robert Flood, D,C.NPI 1659484822

Title

Shareholder

Phone

(715) 831-2111

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Practitioners 2

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.

• David Robert Flood, DC

  • Chiropractor
  • Chippewa Falls, WI
  • NPI 1659484822
  Medicare reassignment NPD Authorized official
• David Kelbel

  • Chiropractor
  • Altoona, WI
  • NPI 1639704638
  NPD (past)

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

{
    "created_epoch": "1321228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321228800000",
    "number": "1568749976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2907 MALL DR",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016866",
            "telephone_number": "715-831-2111",
            "fax_number": "715-831-2115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2907 MALL DR",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016866",
            "telephone_number": "715-831-2111",
            "fax_number": "715-831-2115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARWATER CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-14",
        "last_updated": "2011-11-14",
        "status": "A",
        "authorized_official_last_name": "FLOOD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "SHAREHOLDER",
        "authorized_official_telephone_number": "715-831-2111",
        "authorized_official_credential": "D,C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4229-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clear Water Therapy, LLC
• Clearsky Rehabilitation Hospital of Eau Claire LLC
• Clearwater Assisted Living
• Clearwater Care Center, LLC
• Clearwater Chiropractic LLC
• Clearwater Counseling and Personal Growth Center, Inc.
• Clearwater Dental SC
• Marjorie Ann Clement, DDS
• Hailey J Cline, OTR/L
• Clinic for Christian Counseling LLC

• Chiropractor in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2011; 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.