Active NPI
Slinde Chiropractic DC SC
- Chiropractor
- Stoughton, WI
National Provider Identifier
1780764142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3513012
- Legal business name
- SLINDE CHIROPRACTIC DC SC
- Practice address
- 1317 E Main St
Stoughton, WI 53589 - Phone
- (608) 877-8465
- Fax
- (608) 205-1908
- NPI assigned
- Oct 17, 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
- Derren Luther Slinde, DC
- Title
- President
- Phone
- (608) 877-8465
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3513012 | WI | Primary |
Addresses
Primary practice location
1317 E Main St
Stoughton, WI 53589
Mailing address
1317 E Main St
Stoughton, WI 53589
Phone (608) 877-8465
National Provider Directory
National Provider DirectoryLocations
1317 E Main St
Stoughton, WI 53589
Phone (608) 877-8465
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1326931200000",
"number": "1780764142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1317 E MAIN ST",
"city": "STOUGHTON",
"state": "WI",
"postal_code": "53589",
"telephone_number": "608-877-8465",
"fax_number": "608-205-1908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1317 E MAIN ST",
"city": "STOUGHTON",
"state": "WI",
"postal_code": "53589",
"telephone_number": "608-877-8465",
"fax_number": "608-205-1908"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SLINDE CHIROPRACTIC DC SC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-17",
"last_updated": "2012-01-19",
"status": "A",
"authorized_official_last_name": "SLINDE",
"authorized_official_first_name": "DERREN",
"authorized_official_middle_name": "LUTHER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "608-877-8465",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "WI",
"license": "3513012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stoughton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.