Organization Active NPI

Purpose Chiropractic LLC

  • Chiropractor
  • Onalaska, WI
National Provider Identifier
1699194514
Registry record updated Apr 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3375 Issued in WI
Legal business name
PURPOSE CHIROPRACTIC LLC
Practice address
2850 National Dr # 105
Onalaska, WI 54650-6732
Phone
(608) 519-5767
Fax
(608) 519-5768
NPI assigned
Apr 8, 2014
Last updated
Apr 8, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2014

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

Authorized official

Name
Dr. Marty Lorentz, D.C.NPI 1417990722
Title
Owner
Phone
(608) 386-7879

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)CodeLicenseStatePrimary
Chiropractor 111N00000X 3375 WI Primary

Addresses

Primary practice location

2850 National Dr # 105
Onalaska, WI 54650-6732

Mailing address

2850 National Dr # 105
Onalaska, WI 54650-6732
Phone (608) 519-5767

Other identifiers 2

IdentifierTypeStateIssuer
P00108135OtherWIRAILROAD MEDICARE PIN
38898200MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140814000446 WI Part B Supplier - Clinic/Group Practice 4385861400 Receives reassigned benefits from 1 practitioner
Practice locations: Onalaska, WI

National Provider Directory

National Provider Directory

Locations

2850 National Dr
#105
Onalaska, WI 54650
Phone (608) 519-5767

2850 National Dr
Ste 105
Onalaska, WI 54650
Phone (608) 519-5767

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": "1396915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396915200000",
    "number": "1699194514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 NATIONAL DR # 105",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546506732",
            "telephone_number": "608-519-5767",
            "fax_number": "608-519-5768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 NATIONAL DR # 105",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546506732",
            "telephone_number": "608-519-5767",
            "fax_number": "608-519-5768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURPOSE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-08",
        "last_updated": "2014-04-08",
        "status": "A",
        "authorized_official_last_name": "LORENTZ",
        "authorized_official_first_name": "MARTY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-386-7879",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "P00108135",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38898200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Onalaska, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2014; 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.