Individual provider Active NPI

Judith A. Dochnahl, DC

  • Chiropractor
  • Dodgeville, WI
National Provider Identifier
1700954989
Registry record updated Apr 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3435-012 Issued in WI
Practice address
4024 Esch Rd
Dodgeville, WI 53533-8740
Phone
(563) 451-6301
Fax
(563) 587-8088
NPI assigned
Dec 4, 2006
Last updated
Apr 15, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3435-012 WI Primary
Chiropractor 111N00000X 007484 IA

Addresses

Primary practice location

4024 Esch Rd
Dodgeville, WI 53533-8740

Mailing address

4024 Esch Rd
Dodgeville, WI 53533-8740
Phone (563) 587-8087

Other identifiers 2

IdentifierTypeStateIssuer
760712769028OtherWIBC BS GRP PIN
38903000MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3435-012WIMDChiropractor
3435WIMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Judith Yager DC, Inc. Chiropractor Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365984000000",
    "number": "1700954989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4024 ESCH RD",
            "city": "DODGEVILLE",
            "state": "WI",
            "postal_code": "535338740",
            "telephone_number": "563-587-8087",
            "fax_number": "563-587-8088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4024 ESCH RD",
            "city": "DODGEVILLE",
            "state": "WI",
            "postal_code": "535338740",
            "telephone_number": "563-451-6301",
            "fax_number": "563-587-8088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOCHNAHL",
        "first_name": "JUDITH",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2013-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3435-012",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007484",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS GRP PIN",
            "identifier": "760712769028",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38903000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dodgeville, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.