Organization Active NPI

Family Chiropractic & Wellness Center, SC

  • Chiropractor
  • Eau Claire, WI
National Provider Identifier
1750563201
Registry record updated Nov 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4191-012 Issued in WI
Legal business name
FAMILY CHIROPRACTIC & WELLNESS CENTER, SC
Practice address
2004 Highland Ave
Suite 0
Eau Claire, WI 54701-4400
Phone
(715) 836-7645
NPI assigned
Nov 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2007

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

Authorized official

Name
Dr. Jodi SwartzNPI 1275693939
Title
President
Phone
(715) 836-7645

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 4191-012 WI Primary

Addresses

Primary practice location

2004 Highland Ave
Suite 0
Eau Claire, WI 54701-4400

Mailing address

2004 Highland Ave
Suite 0
Eau Claire, WI 54701-4400
Phone (715) 836-7645

Other identifiers 1

IdentifierTypeStateIssuer
38966600MedicaidWI

National Provider Directory

National Provider Directory

Locations

2004 Highland Ave
Ste 0
Eau Claire, WI 54701
Phone (715) 836-7645

2004 Highland Ave
Eau Claire, WI 54701
Phone (715) 833-9695

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": "1196121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1750563201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 HIGHLAND AVE",
            "address_2": "SUITE 0",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547014400",
            "telephone_number": "715-836-7645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 HIGHLAND AVE",
            "address_2": "SUITE 0",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547014400",
            "telephone_number": "715-836-7645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CHIROPRACTIC & WELLNESS CENTER, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-27",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "SWARTZ",
        "authorized_official_first_name": "JODI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "715-836-7645",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4191-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38966600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; 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.