Active NPI
Vannatta Chiropractic
- Chiropractor
- Platteville, WI
National Provider Identifier
1710308564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4756-12
- Legal business name
- VANNATTA CHIROPRACTIC
- Practice address
- 1250 E. Business Highway 151
Suite H.
Platteville, WI 53818 - Phone
- (608) 732-5545
- NPI assigned
- Dec 20, 2013
- 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. Mandy Vannatta, DC
- Title
- Owner/Chiropractor/Authorized Offic
- Phone
- (608) 732-5545
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 | 4756-12 | WI | Primary |
Addresses
Primary practice location
1250 E. Business Highway 151
Suite H.
Platteville, WI 53818
Mailing address
430 E Main St.
Platteville, WI 53818
Phone (608) 732-5545
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1250 E Business Highway 151
Ste H
Platteville, WI 53818
Phone (608) 348-6600
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Platteville, WI
- NPI 1114213279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387497600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698192000000",
"number": "1710308564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 E MAIN ST.",
"city": "PLATTEVILLE",
"state": "WI",
"postal_code": "53818",
"telephone_number": "608-732-5545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 E. BUSINESS HIGHWAY 151",
"address_2": "SUITE H.",
"city": "PLATTEVILLE",
"state": "WI",
"postal_code": "53818",
"telephone_number": "608-732-5545"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VANNATTA CHIROPRACTIC",
"organizational_subpart": "NO",
"enumeration_date": "2013-12-20",
"last_updated": "2023-10-25",
"status": "A",
"authorized_official_last_name": "VANNATTA",
"authorized_official_first_name": "MANDY",
"authorized_official_title_or_position": "OWNER/CHIROPRACTOR/AUTHORIZED OFFIC",
"authorized_official_telephone_number": "608-732-5545",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "WI",
"license": "4756-12",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Platteville, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; 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.