Active NPI
Black River Chiropractic Clinic, SC
- Chiropractor
- Black River Falls, WI
National Provider Identifier
1689747826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- BLACK RIVER CHIROPRACTIC CLINIC, SC
- Practice address
- 126 S 2ND St
Black River Falls, WI 54615-1726 - Phone
- (715) 284-2915
- Fax
- (715) 284-7492
- NPI assigned
- Nov 16, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Todd V Volk, DC
- Title
- President
- Phone
- (715) 284-2915
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | NU | Primary |
Addresses
Primary practice location
126 S 2ND St
Black River Falls, WI 54615-1726
Mailing address
126 S 2ND St
Black River Falls, WI 54615-1726
Phone (715) 284-2915
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 52D0396357 | Black River Chiropractic Clinic | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Chiropractor
- Black River Falls, WI
- NPI 1629078902
-
- Chiropractor
- Blair, WI
- NPI 1366849515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1689747826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "126 S 2ND ST",
"city": "BLACK RIVER FALLS",
"state": "WI",
"postal_code": "546151726",
"telephone_number": "715-284-2915",
"fax_number": "715-284-7492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "126 S 2ND ST",
"city": "BLACK RIVER FALLS",
"state": "WI",
"postal_code": "546151726",
"telephone_number": "715-284-2915",
"fax_number": "715-284-7492"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLACK RIVER CHIROPRACTIC CLINIC, SC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-16",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "VOLK",
"authorized_official_first_name": "TODD",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "715-284-2915",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Black River Falls, 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.
- 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.