Pelock Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5109-12 Issued in WI

Legal business name

PELOCK CHIROPRACTIC LLC

Practice address

2240 Prairie Ave
Suite 5
Beloit, WI 53511-2648

Phone

(608) 290-2366

NPI assigned

Oct 9, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Seth Pelock, D.C.NPI 1811318744

Title

Owner

Phone

(608) 290-2366

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Practitioners 1

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

• Seth Pelock, D.C.

  • Chiropractor
  • Beloit, WI
  • NPI 1811318744
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1444348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456704000000",
    "number": "1649641101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 PRAIRIE AVE",
            "address_2": "SUITE 5",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535112648",
            "telephone_number": "608-312-2586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 PRAIRIE AVE",
            "address_2": "SUITE 5",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535112648",
            "telephone_number": "608-290-2366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELOCK CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-09",
        "last_updated": "2016-02-29",
        "status": "A",
        "authorized_official_last_name": "PELOCK",
        "authorized_official_first_name": "SETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-290-2366",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5109-12",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100049543",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margaret M Pearsall, M.D.
• Chelsey Pease
• Amanda Peerboom
• Emarcia Patrice Peete, M.D.
• Brandon Alan Pelletier, M.D.
• Seth Pelock, D.C.
• Nuria Perez Gordillo, WHNP
• Kayliene Danielle Peschel, FNP-C
• Peter Bouc LLC
• Sarah Jane Petersen, LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2016; 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.