Organization Active NPI

Pomranke Inc

  • Chiropractor
  • La Crosse, WI
National Provider Identifier
1720452030
Registry record updated Nov 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4703-012 Issued in WI
Legal business name
POMRANKE INC
Practice address
4535 Mormon Coulee Rd
Ste 3
La Crosse, WI 54601-8232
Phone
(651) 500-9684
NPI assigned
Nov 24, 2015
Last updated
Nov 24, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2015

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

Authorized official

Name
Corey Pomranke, D.C.
Title
President
Phone
(651) 500-9684

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4703-012 WI Primary

Addresses

Primary practice location

4535 Mormon Coulee Rd
Ste 3
La Crosse, WI 54601-8232

Mailing address

4535 Mormon Coulee Rd
Ste 3
La Crosse, WI 54601-8232
Phone (651) 500-9684

Other identifiers 1

IdentifierTypeStateIssuer
359600005MedicaidWI

National Provider Directory

National Provider Directory

Locations

4535 Mormon Coulee Rd
Ste 3
La Crosse, WI 54601
Phone (608) 881-6052

NPI Registry JSON

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

{
    "created_epoch": "1448323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448323200000",
    "number": "1720452030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4535 MORMON COULEE RD",
            "address_2": "STE 3",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546018232",
            "telephone_number": "651-500-9684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4535 MORMON COULEE RD",
            "address_2": "STE 3",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546018232",
            "telephone_number": "651-500-9684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POMRANKE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-24",
        "last_updated": "2015-11-24",
        "status": "A",
        "authorized_official_last_name": "POMRANKE",
        "authorized_official_first_name": "COREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-500-9684",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4703-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "359600005",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Crosse, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2015; 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.