Pro Health Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038010988 Issued in WI

Legal business name

PRO HEALTH CHIROPRACTIC LLC

Practice address

1777 W Main St Ste 107
Sun Prairie, WI 53590-3100

Phone

(608) 318-2410

Fax

(608) 318-2412

NPI assigned

May 28, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Geri Cadwallader

Title

Office Manager

Phone

(608) 318-2410

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 6

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

• Robert L Cadwallader, D.C.

  • Chiropractor
  • Sun Prairie, WI
  • NPI 1093709305
  Medicare reassignment Care Compare group NPD
• Jaclyn Ehl

  • Chiropractor
  • Madison, WI
  • NPI 1073095949
  Medicare reassignment Care Compare group NPD
• Sophia Emily Groff, DC

  • Chiropractor
  • Sun Prairie, WI
  • NPI 1275267296
  Medicare reassignment Care Compare group NPD
• Zachary Charles Groff, DC

  • Chiropractor
  • Sun Prairie, WI
  • NPI 1518689454
  Medicare reassignment Care Compare group NPD
• Cody Lee Larsen, DC

  • Chiropractor
  • Knoxville, TN
  • NPI 1477387538

  WI

  Medicare reassignment Care Compare group
• Kyle Thomas Moore, DC

  • Chiropractor
  • Sun Prairie, WI
  • NPI 1235711011
  Medicare reassignment NPD

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

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1669630562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 W MAIN ST STE 107",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535903100",
            "telephone_number": "608-318-2410",
            "fax_number": "608-318-2412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 W MAIN ST STE 107",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535903100",
            "telephone_number": "608-318-2410",
            "fax_number": "608-318-2412"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2410 Montana Ave",
            "address_purpose": "LOCATION",
            "city": "Sun Prairie",
            "state": "WI",
            "postal_code": "535901617",
            "country_code": "US",
            "telephone_number": "608-318-2410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRO HEALTH CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-28",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "CADWALLADER",
        "authorized_official_first_name": "GERI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "608-318-2410",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "038010988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naomi A Presley
• Primal Air, LLC
• Primal Air, LLC
• Trista Pringle
• Angela Kay Pritzl, PT
• Kirsten Probst
• Scott Proebstle, PHARM D
• Promed Preferred Wi 2 Service Corporation
• Jodi A.B. Punke, DO
• James E Quackenbush, MD

• Chiropractor in Sun Prairie, WI
• Providers in Sun Prairie, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.