Ascent Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4707-12 Issued in WI

Legal business name

ASCENT CHIROPRACTIC LLC

Doing business as

Ascent Sports & Wellness Chiropractic Clinic

Practice address

16620 W Bluemound Rd # 405
Brookfield, WI 53005-5966

Phone

(262) 345-4166

Fax

(262) 753-6908

NPI assigned

Dec 29, 2017

Last updated

Dec 29, 2017By 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

Grant Keith Radermacher, DCNPI 1790204832

Title

Owner

Phone

(262) 345-4166

Specialties & licenses 1

Addresses

Other names 1

• Ascent Sports & Wellness Chiropractic Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 1

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.

• Grant Keith Radermacher, DC

  • Chiropractor
  • Brookfield, WI
  • NPI 1790204832
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1514505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514505600000",
    "number": "1699282632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16620 W BLUEMOUND RD # 405",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530055966",
            "telephone_number": "262-345-4166",
            "fax_number": "262-753-6908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16620 W BLUEMOUND RD # 405",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530055966",
            "telephone_number": "262-345-4166",
            "fax_number": "262-753-6908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASCENT CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-29",
        "last_updated": "2017-12-29",
        "status": "A",
        "authorized_official_last_name": "RADERMACHER",
        "authorized_official_first_name": "GRANT",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-345-4166",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4707-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ascent Sports & Wellness Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brent Wayne Arnold, M.D.
• Britta Arones
• Rebecca Arrichiello, L.M.T.
• Ascension SE Wisconsin Hospital, Inc (Ascension SE Wisconsin Hospital-Elmbrook Campus)
• Ascension Wisconsin Pharmacy, Inc. (Ascension Rx 1104)
• Dawn Ashenbrenner, PT
• Erin Ashenhurst
• Mariam Ashraf, PHARMD
• Asif Iqbal MD SC
• Priya Asija, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2017; 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.