Organization Active NPI

Capitol Chiropractic Centre SC

  • Point of Service
  • Madison, WI
National Provider Identifier
1679639108
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
4139012 Issued in WI
Legal business name
CAPITOL CHIROPRACTIC CENTRE SC
Practice address
121 S Pinckney St Ste 110
Madison, WI 53703-3338
Phone
(608) 250-2699
NPI assigned
Dec 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Eric Willem Van Zon, D.C.
Title
Chiropractor
Phone
(608) 250-2699

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X 4139012 WI Primary

Addresses

Primary practice location

121 S Pinckney St Ste 110
Madison, WI 53703-3338

Mailing address

121 S Pinckney St Ste 110
Madison, WI 53703-3338
Phone (608) 250-2699

Other identifiers 1

IdentifierTypeStateIssuer
1942252044OtherWINPI

National Provider Directory

National Provider Directory

Locations

121 S Pinckney St
Ste 110
Madison, WI 53703
Phone (608) 250-2699

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679639108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 S PINCKNEY ST STE 110",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537033338",
            "telephone_number": "608-250-2699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 S PINCKNEY ST STE 110",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537033338",
            "telephone_number": "608-250-2699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITOL CHIROPRACTIC CENTRE SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VAN ZON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "WILLEM",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "608-250-2699",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "WI",
            "license": "4139012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1942252044",
            "state": "WI"
        }
    ],
    "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 Aug 22, 2020; 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.