Individual provider Active NPI

Julia Johanna Carlson, D.C.

  • Chiropractor
  • Eau Claire, WI
National Provider Identifier
1609008150
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4520-12 Issued in WI
Practice address
3119 Golf Rd Ste 107
Eau Claire, WI 54701-7073
Phone
(157) 514-2833
Fax
(888) 423-1002
NPI assigned
Aug 18, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4520-12 WI Primary

Addresses

Primary practice location

3119 Golf Rd Ste 107
Eau Claire, WI 54701-7073

Mailing address

3119 Golf Rd Ste 107
Eau Claire, WI 54701-7073
Phone (715) 514-2833

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091123000247 WI Practitioner - Chiropractic 8123167632 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carlson Chiropractic, LLCGroup PAC ID 7618110651, 2 clinicians

Practice addresses (Care Compare)

3119 Golf Rd
Suite 107
Eau Claire, WI 54701-7073
Phone (715) 514-2833

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4520-12WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Croixview Family Chiropractic LLC Chiropractor PastSince Jul 7, 2020 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1609008150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3119 GOLF RD STE 107",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547017073",
            "telephone_number": "715-514-2833",
            "fax_number": "888-423-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3119 GOLF RD STE 107",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547017073",
            "telephone_number": "157-514-2833",
            "fax_number": "888-423-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "JULIA",
        "middle_name": "JOHANNA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-18",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4520-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.