Radandt Chiropractic Center, LLC

Primary specialty

Nutrition ChiropractorTaxonomy code 111NN1001X

License

2388 Issued in WI

Legal business name

RADANDT CHIROPRACTIC CENTER, LLC

Practice address

1840 Meadow LN
Suite D
Pewaukee, WI 53072-5576

Phone

(262) 650-9337

Fax

(262) 650-1659

NPI assigned

May 23, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Barry Michael Radandt, D.C.NPI 1861442949

Title

Owner

Phone

(262) 650-9337

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 2

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

• Barry Micheal Radandt, D.C.

  • Neurology Chiropractor
  • Pewaukee, WI
  • NPI 1861442949
  Medicare reassignment Authorized official
• Timothy J Bortz, DC

  • Chiropractor
  • Rockledge, FL
  • NPI 1558566299
  NPD (past)

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649225426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 MEADOW LN",
            "address_2": "SUITE D",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530725576",
            "telephone_number": "262-650-9337",
            "fax_number": "262-650-1659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 MEADOW LN",
            "address_2": "SUITE D",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530725576",
            "telephone_number": "262-650-9337",
            "fax_number": "262-650-1659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADANDT CHIROPRACTIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RADANDT",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-650-9337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "WI",
            "license": "2388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38951900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Emily Rabl
• Raclaw LLC
• Emily Todd Raclaw, LPC
• Barry Micheal Radandt, D.C.
• Todd Ralenkotter, RPH
• Maria N Ramirez Walter, MA, LPC, BC-TMH
• Tanya D Ramirez, LPC
• Joy Ramme

• Nutrition Chiropractor in Pewaukee, WI
• Providers in Pewaukee, WI by specialty
• Nutrition 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.