Organization Active NPI

Vannatta Chiropractic

  • Chiropractor
  • Platteville, WI
National Provider Identifier
1710308564
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4756-12 Issued in WI
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

Updated by the provider on Oct 25, 2023

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

Authorized official

Name
Dr. Mandy Vannatta, DCNPI 1114213279
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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20231212001857 WI Part B Supplier - Clinic/Group Practice 6507215878 Receives reassigned benefits from 1 practitioner
Practice locations: Platteville, WI

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.