Organization Active NPI

Slinde Chiropractic DC SC

  • Chiropractor
  • Stoughton, WI
National Provider Identifier
1780764142
Registry record updated Jan 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3513012 Issued in WI
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

Updated by the provider on Jan 19, 2012

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.