Long Chiropractic Center SC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

477212 Issued in WI

Legal business name

LONG CHIROPRACTIC CENTER SC

Practice address

406 South Howard Street
Wittenberg, WI 54499

Phone

(715) 253-2239

Fax

(715) 253-3331

NPI assigned

Jan 23, 2015

Last updated

May 5, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Casey Long, DCNPI 1174812473

Title

President

Phone

(715) 881-1411

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Casey Jeanne Long, D.C.

  • Chiropractor
  • Wausau, WI
  • NPI 1174812473
  Medicare reassignment NPD Authorized official
• Mikayla Danielle Kriha, DC

  • Chiropractor
  • Wittenberg, WI
  • NPI 1679192637
  NPD

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

{
    "created_epoch": "1421971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430784000000",
    "number": "1720478183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W17314 MAPLE RD",
            "city": "WITTENBERG",
            "state": "WI",
            "postal_code": "544998553",
            "telephone_number": "715-881-1411",
            "fax_number": "715-253-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 SOUTH HOWARD STREET",
            "city": "WITTENBERG",
            "state": "WI",
            "postal_code": "54499",
            "telephone_number": "715-253-2239",
            "fax_number": "715-253-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG CHIROPRACTIC CENTER SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-23",
        "last_updated": "2015-05-05",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "CASEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "715-881-1411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "477212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawne Nicole Judnic, MS, LPC
• Karleen Kemp
• Andrea Kramer
• Mikayla Danielle Kriha, DC
• Steven Thomas Lechner
• Lutheran Social Services of Wisconsin and Upper Michigan, Inc. (LSS Homme)
• Mary B Mattes, LPC
• MCHS Hospitals Inc (Marshfield Clinic Wittenberg Center)
• Roslyn Dee McKay, WHNP
• Molly Meverden

• Chiropractor in Wittenberg, WI
• Providers in Wittenberg, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2015; 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.