Organization Active NPI

Somerset Chiropractic, SC

  • Chiropractor
  • Somerset, WI
National Provider Identifier
1609198688
Registry record updated Feb 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3586-012 Issued in WI
Legal business name
SOMERSET CHIROPRACTIC, SC
Practice address
705 Rivard St Ste 3
Somerset, WI 54025-7456
Phone
(715) 247-3050
Fax
(715) 247-3051
NPI assigned
Feb 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2010

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

Authorized official

Name
Dr. Christopher A. Rud, D.C.NPI 1407985443
Title
Chiropractor
Phone
(715) 247-3050

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 3586-012 WI Primary

Addresses

Primary practice location

705 Rivard St Ste 3
Somerset, WI 54025-7456

Mailing address

705 Rivard St Ste 3
Somerset, WI 54025-7456
Phone (715) 247-3050

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100528000212 WI Part B Supplier - Clinic/Group Practice 2062541170 Receives reassigned benefits from 1 practitioner
Practice locations: Somerset, WI

National Provider Directory

National Provider Directory

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": "1266451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266451200000",
    "number": "1609198688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 RIVARD ST STE 3",
            "city": "SOMERSET",
            "state": "WI",
            "postal_code": "540257456",
            "telephone_number": "715-247-3050",
            "fax_number": "715-247-3051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 RIVARD ST STE 3",
            "city": "SOMERSET",
            "state": "WI",
            "postal_code": "540257456",
            "telephone_number": "715-247-3050",
            "fax_number": "715-247-3051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMERSET CHIROPRACTIC, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-18",
        "last_updated": "2010-02-18",
        "status": "A",
        "authorized_official_last_name": "RUD",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "715-247-3050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3586-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2010; 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.