C.S. Gonstead Chiropractic Foundation, Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

C.S. GONSTEAD CHIROPRACTIC FOUNDATION, INC

Practice address

1505 Springdale St
Mt. Horeb, WI 53572

Phone

(608) 437-5585

Fax

(608) 437-7041

NPI assigned

Jul 12, 2006

Organization subpart

No

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

Authorized official

Name

Dianne J Gordon

Title

Clinic Manager/ Administrator

Phone

(608) 437-5585

Specialties & licenses 1

Addresses

Other names 1

• GONSTEAD CLINIC OF CHIROPRACTIC Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 5

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

• Kira Alysse Wiemers, DC

  • Chiropractor
  • Mount Horeb, WI
  • NPI 1043079056
  Medicare reassignment Care Compare group NPD
• William Steven Salinger, DC

  • Chiropractor
  • Mount Horeb, WI
  • NPI 1336854660
  Medicare reassignment Care Compare group
• Michael Patrick O'Hara, D.C.

  • Chiropractor
  • Waterloo, IA
  • NPI 1144468067

  WI

  Medicare reassignment
• Marc David Ditty, D.C.

  • Chiropractor
  • Green Bay, WI
  • NPI 1912939711
  NPD (past)
• Nicholas J. Schultz, D.C.

  • Chiropractor
  • Fountain Hills, AZ
  • NPI 1164450086
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428537600000",
    "number": "1629003017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 46",
            "address_2": "1505 SPRINGDALE ST",
            "city": "MT. HOREB",
            "state": "WI",
            "postal_code": "53572",
            "telephone_number": "608-437-5585",
            "fax_number": "608-437-7041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 SPRINGDALE ST",
            "city": "MT. HOREB",
            "state": "WI",
            "postal_code": "53572",
            "telephone_number": "608-437-5585",
            "fax_number": "608-437-7041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C.S. GONSTEAD CHIROPRACTIC FOUNDATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2015-04-09",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "DIANNE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CLINIC MANAGER/ ADMINISTRATOR",
        "authorized_official_telephone_number": "608-437-5585"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GONSTEAD CLINIC OF CHIROPRACTIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mark Robert Bohl, DC
• William R Booth
• Kerrie Borchardt, LPN
• Brenda Trudell, LLC
• Brittany Dyan Burger, D.D.S.
• Kelly Caluori, PHARM.D.
• Linda Carlson
• Kristin T Casey, NP RN MS CPNP CPON
• Kari Cataldo, M.D.
• Martina Chamberlain-Bierman, RCS, RN

• Chiropractor in Mt. Horeb, WI
• Providers in Mt. Horeb, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; 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.