Active NPI
Apex Family Chiropractic, LLC
- Chiropractor
- Elkhorn, WI
National Provider Identifier
1689848814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4048-012
- Legal business name
- APEX FAMILY CHIROPRACTIC, LLC
- Practice address
- 210 E O'Connor Dr
Suite 105
Elkhorn, WI 53121-0000 - Phone
- (262) 723-2739
- NPI assigned
- Apr 18, 2008
- Last updated
- Jul 11, 2008
- 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. Heather Dawn Dalton
- Title
- Doctor of Chiropractic
- Phone
- (262) 723-2739
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4048-012 | WI | Primary |
Addresses
Primary practice location
210 E O'Connor Dr
Suite 105
Elkhorn, WI 53121-0000
Mailing address
210 E O'Connor Dr
Suite 105
Elkhorn, WI 53121-0000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38956300 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
210 Oconnor Dr
Ste 105
Elkhorn, WI 53121
Phone (262) 723-2739
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.
-
- Chiropractor
- Elkhorn, WI
- NPI 1265475784
-
- Chiropractor
- Beloit, WI
- NPI 1417842360
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208476800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1215734400000",
"number": "1689848814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 E O'CONNOR DR",
"address_2": "SUITE 105",
"city": "ELKHORN",
"state": "WI",
"postal_code": "531210000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 E O'CONNOR DR",
"address_2": "SUITE 105",
"city": "ELKHORN",
"state": "WI",
"postal_code": "531210000",
"telephone_number": "262-723-2739"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "APEX FAMILY CHIROPRACTIC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-18",
"last_updated": "2008-07-11",
"status": "A",
"authorized_official_last_name": "DALTON",
"authorized_official_first_name": "HEATHER",
"authorized_official_middle_name": "DAWN",
"authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
"authorized_official_telephone_number": "262-723-2739",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "4048-012",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38956300",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elkhorn, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; 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.