Organization Active NPI

Mayfield Chiropractic Wellness Centre, SC

  • Clinic/Center
  • Madison, WI
National Provider Identifier
1669632097
Registry record updated Jul 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
1941 Issued in WI
Legal business name
MAYFIELD CHIROPRACTIC WELLNESS CENTRE, SC
Practice address
427 Grand Canyon Dr
Madison, WI 53719-1040
Phone
(608) 833-7471
Fax
(608) 833-3286
NPI assigned
Jun 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2014

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

Authorized official

Name
Dr. Gordon Mayfield, D.C.
Title
Owner
Phone
(608) 833-7471

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 1941 WI Primary

Addresses

Primary practice location

427 Grand Canyon Dr
Madison, WI 53719-1040

Mailing address

427 Grand Canyon Dr
Madison, WI 53719-1040
Phone (608) 833-7471

National Provider Directory

National Provider Directory

Locations

427 Grand Canyon Dr
Madison, WI 53719
Phone (608) 833-7471

NPI Registry JSON

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406505600000",
    "number": "1669632097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 GRAND CANYON DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191040",
            "telephone_number": "608-833-7471",
            "fax_number": "608-833-3286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 GRAND CANYON DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191040",
            "telephone_number": "608-833-7471",
            "fax_number": "608-833-3286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYFIELD CHIROPRACTIC WELLNESS CENTRE, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-10",
        "last_updated": "2014-07-28",
        "status": "A",
        "authorized_official_last_name": "MAYFIELD",
        "authorized_official_first_name": "GORDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-833-7471",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WI",
            "license": "1941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.