Organization Active NPI

Black River Chiropractic Clinic, SC

  • Chiropractor
  • Black River Falls, WI
National Provider Identifier
1689747826
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
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, 2020By the provider in NPPES
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. Todd V Volk, DC
Title
President
Phone
(715) 284-2915

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20061201000436 WI Part B Supplier - Clinic/Group Practice 6709884679 Receives reassigned benefits from 2 practitioners
Practice locations: Black River Falls, WI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D0396357Black River Chiropractic Clinic126 S 2ND St, Black River Falls, WI 54615Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.