Correction Creek Chiropractic Centre LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2111 Issued in WI

Legal business name

CORRECTION CREEK CHIROPRACTIC CENTRE LLC

Practice address

1260 S 8TH St
Medford, WI 54451-2069

Phone

(715) 748-6969

NPI assigned

Jul 16, 2010

Last updated

Nov 19, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Dale J StramaNPI 1447357173

Title

Owner

Phone

(715) 748-6969

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dale J Strama, DC

  • Chiropractor
  • Medford, WI
  • NPI 1447357173
  Medicare reassignment Care Compare group NPD Authorized official
• Brad N Veal, DC

  • Chiropractor
  • Medford, WI
  • NPI 1972601557
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1279238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353283200000",
    "number": "1679886980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 S 8TH ST",
            "city": "MEDFORD",
            "state": "WI",
            "postal_code": "544512069",
            "telephone_number": "715-748-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 S 8TH ST",
            "city": "MEDFORD",
            "state": "WI",
            "postal_code": "544512069",
            "telephone_number": "715-748-6969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORRECTION CREEK CHIROPRACTIC CENTRE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-16",
        "last_updated": "2012-11-19",
        "status": "A",
        "authorized_official_last_name": "STRAMA",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-748-6969",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38793600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Cahoon
• Jaden Rose Carstensen, OD
• Ryan Check, MD
• Crystal Chenier
• Austin Alan Cook, DDS
• Counseling Connection of Medford LLC
• Sarah M Cupp, APSW, LMSW
• Michael John Daniels, PT
• Barbara Anne Davis, RN
• Ryan Robert Diegel, CRNA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2012; 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.