Organization Active NPI

Chipota Chiropractic LLC

  • Chiropractor
  • Chippewa Falls, WI
National Provider Identifier
1760062558
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CHIPOTA CHIROPRACTIC LLC
Practice address
45 E Elm St Ste 2
Chippewa Falls, WI 54729-1820
Phone
(715) 352-6222
NPI assigned
Apr 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

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

Authorized official

Name
Breanna Schemenauer, DC
Title
Chiropractor
Phone
(715) 352-6222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

45 E Elm St Ste 2
Chippewa Falls, WI 54729-1820

Mailing address

45 E Elm St Ste 2
Chippewa Falls, WI 54729-1820

National Provider Directory

National Provider Directory

Locations

45 E Elm St
Ste 2
Chippewa Falls, WI 54729
Phone (715) 352-6222

NPI Registry JSON

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

{
    "created_epoch": "1618358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618358400000",
    "number": "1760062558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 E ELM ST STE 2",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547291820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 E ELM ST STE 2",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547291820",
            "telephone_number": "715-352-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIPOTA CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-14",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A",
        "authorized_official_last_name": "SCHEMENAUER",
        "authorized_official_first_name": "BREANNA",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "715-352-6222",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chippewa Falls, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; 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.