Active NPI
Fenander Chiropractic Office S.C.
- Chiropractor
- Wisconsin Rapids, WI
National Provider Identifier
1760541767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2537-012
- Legal business name
- FENANDER CHIROPRACTIC OFFICE S.C.
- Practice address
- 2100 7TH St S
Wisconsin Rapids, WI 54494-6017 - Phone
- (715) 421-2200
- Fax
- (715) 421-2916
- NPI assigned
- Dec 6, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Laura J Fenander, D.C.
- Title
- Vice President
- Phone
- (715) 421-2200
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1214-012 | WI | |
| Chiropractor | 111N00000X | 2537-012 | WI | Primary |
| Chiropractor | 111N00000X | 3812-012 | WI | |
| Chiropractor | 111N00000X | 1685-012 | WI |
Addresses
Primary practice location
2100 7TH St S
Wisconsin Rapids, WI 54494-6017
Mailing address
2100 7TH St S
Wisconsin Rapids, WI 54494-6017
Phone (715) 421-2200
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 387728664005 | Other | WI | L.J.FENANDER,D.C. BC# |
| 388343467006 | Other | WI | A.V.FENANDER,D.C. BC# |
| 1295705366 | Other | WI | NATIONAL PROVIDER ID |
| 1710957881 | Other | WI | L. J. FENANDER, D.C. NPI# |
| 1992775076 | Other | WI | M.F.LADICK,D.C. NPI# |
| 387728809001 | Other | WI | M.A.FENANDER,D.C. BC# |
| 394568499005 | Other | WI | M.F.LADICK,D.C. BC# |
| 38770600 | Medicaid | WI | |
| 38809500 | Medicaid | WI | |
| 1104896869 | Other | WI | M.A.FENANDER,D.C. NPI |
| 38844700 | Medicaid | WI | |
| 38935700 | Medicaid | WI |
National Provider Directory
National Provider DirectoryLocations
2100 7th St S
Wisconsin Rapids, WI 54494
Phone (715) 421-2200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1760541767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 7TH ST S",
"city": "WISCONSIN RAPIDS",
"state": "WI",
"postal_code": "544946017",
"telephone_number": "715-421-2200",
"fax_number": "715-421-2916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 7TH ST S",
"city": "WISCONSIN RAPIDS",
"state": "WI",
"postal_code": "544946017",
"telephone_number": "715-421-2200",
"fax_number": "715-421-2916"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FENANDER CHIROPRACTIC OFFICE S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-06",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "FENANDER",
"authorized_official_first_name": "LAURA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "715-421-2200",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "WI",
"license": "1214-012",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "WI",
"license": "2537-012",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "WI",
"license": "3812-012",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "WI",
"license": "1685-012",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L.J.FENANDER,D.C. BC#",
"identifier": "387728664005",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "A.V.FENANDER,D.C. BC#",
"identifier": "388343467006",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL PROVIDER ID",
"identifier": "1295705366",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L. J. FENANDER, D.C. NPI#",
"identifier": "1710957881",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "M.F.LADICK,D.C. NPI#",
"identifier": "1992775076",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "M.A.FENANDER,D.C. BC#",
"identifier": "387728809001",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "M.F.LADICK,D.C. BC#",
"identifier": "394568499005",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38770600",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38809500",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "M.A.FENANDER,D.C. NPI",
"identifier": "1104896869",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38844700",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38935700",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wisconsin Rapids, WI
Sources for this page
- 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.