NPIMap

Organization Active NPI

Proactive Wellness and Chiropractic

  • Chiropractor
  • Stevens Point, WI
National Provider Identifier
1710289053
Registry record updated Nov 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4296-12 Issued in WI
Legal business name
PROACTIVE WELLNESS AND CHIROPRACTIC
Practice address
3217 John Joanis Dr
Suite B
Stevens Point, WI 54482-8852
Phone
(715) 254-3980
NPI assigned
Nov 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2010

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

Authorized official

Name
Dr. Wally Schmitt, D.C.
Title
Chiropractor
Phone
(715) 254-3980

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4296-12 WI Primary

Addresses

Primary practice location

3217 John Joanis Dr
Suite B
Stevens Point, WI 54482-8852

Mailing address

3217 John Joanis Dr
Suite B
Stevens Point, WI 54482-8852

National Provider Directory

National Provider Directory

Locations

3217 John Joanis Dr
Ste B
Stevens Point, WI 54482
Phone (715) 254-3980

NPI Registry JSON

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

{
    "created_epoch": "1290038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290038400000",
    "number": "1710289053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3217 JOHN JOANIS DR",
            "address_2": "SUITE B",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544828852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3217 JOHN JOANIS DR",
            "address_2": "SUITE B",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544828852",
            "telephone_number": "715-254-3980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTIVE WELLNESS AND CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-18",
        "last_updated": "2010-11-18",
        "status": "A",
        "authorized_official_last_name": "SCHMITT",
        "authorized_official_first_name": "WALLY",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "715-254-3980",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4296-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stevens Point, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2010; 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.