Active NPI
Burlington Family Chiropractic LLC
- Chiropractor
- Burlington, WI
National Provider Identifier
1649348392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- BURLINGTON FAMILY CHIROPRACTIC LLC
- Practice address
- 196 W Chestnut Street
Burlington, WI 53105 - Phone
- (262) 763-3700
- Fax
- (262) 763-5690
- NPI assigned
- Dec 1, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert C Wheelock, DC
- Title
- Chiropractor Owner
- Phone
- (262) 763-3700
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
196 W Chestnut Street
Burlington, WI 53105
Mailing address
196 W Chestnut Street
Burlington, WI 53105
Phone (262) 763-3700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38992900 | Medicaid | WI |
Other names 1
- Wheelock Chiropractic LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040615000624 | WI | Part B Supplier - Clinic/Group Practice | 5991789265 |
Receives reassigned benefits from 4 practitioners Practice locations: Burlington, WI |
National Provider Directory
National Provider DirectoryLocations
196 W Chestnut St
Burlington, WI 53105
Phone (262) 763-3700
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Burlington, WI
- NPI 1477419141
-
- Chiropractor
- Burlington, WI
- NPI 1558437343
-
- Chiropractor
- Burlington, WI
- NPI 1003982802
-
- Chiropractor
- Burlington, WI
- NPI 1386910339
-
- Chiropractor
- Burlington, WI
- NPI 1912073701
-
- Chiropractor
- Pewaukee, WI
- NPI 1003975129
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1649348392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "196 W CHESTNUT STREET",
"city": "BURLINGTON",
"state": "WI",
"postal_code": "53105",
"telephone_number": "262-763-3700",
"fax_number": "262-763-5690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "196 W CHESTNUT STREET",
"city": "BURLINGTON",
"state": "WI",
"postal_code": "53105",
"telephone_number": "262-763-3700",
"fax_number": "262-763-5690"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BURLINGTON FAMILY CHIROPRACTIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-01",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WHEELOCK",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "CHIROPRACTOR OWNER",
"authorized_official_telephone_number": "262-763-3700",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38992900",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Wheelock Chiropractic LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Burlington, WI
Sources for this page
- 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.