Dodgeville Family Chiropractic SC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3780 Issued in WI

Legal business name

DODGEVILLE FAMILY CHIROPRACTIC SC

Practice address

401 N Union St
Dodgeville, WI 53533-1347

Phone

(608) 935-1773

Fax

(608) 935-1774

NPI assigned

Dec 8, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Brenda Jo White, D.C.NPI 1982792164

Title

President

Phone

(608) 935-1773

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brenda J White, D.C.

  • Chiropractor
  • Dodgeville, WI
  • NPI 1982792164
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619036134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N UNION ST",
            "city": "DODGEVILLE",
            "state": "WI",
            "postal_code": "535331347",
            "telephone_number": "608-935-1773",
            "fax_number": "608-935-1774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N UNION ST",
            "city": "DODGEVILLE",
            "state": "WI",
            "postal_code": "535331347",
            "telephone_number": "608-935-1773",
            "fax_number": "608-935-1774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DODGEVILLE FAMILY CHIROPRACTIC SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "608-935-1773",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38932800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dean Health Systems, Inc.
• Dean Retail Services, Inc.
• Marlene M Derby, RN
• Judith A. Dochnahl, DC
• Dodgeville Dental LLC
• Dodgeville Orthopedics SC
• Dodgeville School District
• Jana Draeger, PHARM D, RPH
• Sarah J Drennan, LCSW
• Susan Eberle

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.