Siren Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3347-012 Issued in WI

Legal business name

SIREN CHIROPRACTIC, LLC

Practice address

24128 State Road 35
Siren, WI 54872-8006

Phone

(715) 349-2770

Fax

(715) 349-8799

NPI assigned

Jan 11, 2006

Last updated

Aug 22, 2020By 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. Travis Lee Stanford, D.C.NPI 1942209812

Title

President

Phone

(715) 349-2770

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• Travis Lee Stanford, D.C.

  • Chiropractor
  • Siren, WI
  • NPI 1942209812
  Authorized official Same address or phone

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760461545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24128 STATE ROAD 35",
            "address_2": "PO BOX 31",
            "city": "SIREN",
            "state": "WI",
            "postal_code": "548728006",
            "telephone_number": "715-349-2770",
            "fax_number": "715-349-8799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24128 STATE ROAD 35",
            "city": "SIREN",
            "state": "WI",
            "postal_code": "548728006",
            "telephone_number": "715-349-2770",
            "fax_number": "715-349-8799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIREN CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STANFORD",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "715-349-2770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3347-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38899300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffany D Peterson, PHARMD
• Jodi Reed, RN
• Michael R Rossow
• School District of Siren
• Debra Jill Severson, MS LPC
• Siren Family Eyecare, LLC
• St. Croix Chippewa Indians of Wi (Siren Pharmacy)
• Travis Lee Stanford, D.C.
• Cindy Stewart, SAC-IT
• Warren D Stouffer, CADC II

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.