Individual provider Active NPI

David Robert Flood, DC

  • Chiropractor
  • Chippewa Falls, WI
National Provider Identifier
1659484822
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4229012 Issued in WI
Practice address
4751 Cty Hwy J
Chippewa Falls, WI 54729-3387
Phone
(715) 723-2713
Fax
(715) 723-1176
NPI assigned
Aug 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4229012 WI Primary

Addresses

Primary practice location

4751 Cty Hwy J
Chippewa Falls, WI 54729-3387

Mailing address

4751 Cty Hwy J
Chippewa Falls, WI 54729-3387
Phone (715) 723-2713

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060928000520 WI Practitioner - Chiropractic 7719982552 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2907 Mall Dr
Eau Claire, WI 54701-6866
Phone (715) 831-2111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4229012WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Clearwater Chiropractic LLC Chiropractor CurrentSince May 1, 2012 Accepting new patients
Golde Chiropractic Center SC Chiropractor Past Accepting new patients
Chippewa Falls Chiropractic, S.C. Chiropractor Past Accepting new patients

Locations

2907 Mall Dr
Eau Claire, WI 54701
Phone (715) 831-2111

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659484822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4751 CTY HWY J",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547293387",
            "telephone_number": "715-723-2713",
            "fax_number": "715-723-1176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4751 CTY HWY J",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547293387",
            "telephone_number": "715-723-2713",
            "fax_number": "715-723-1176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLOOD",
        "first_name": "DAVID",
        "middle_name": "ROBERT",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4229012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chippewa Falls, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.