Individual provider Active NPI

Randy John Joten, D.C

  • Chiropractor
  • Superior, WI
National Provider Identifier
1790199503
Registry record updated Dec 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5024-12 Issued in WI
Practice address
916 Hammond Ave
Superior, WI 54880-1770
Phone
(715) 299-0522
NPI assigned
Jun 19, 2014
Last updated
Dec 9, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5024-12 WI Primary

Addresses

Primary practice location

916 Hammond Ave
Superior, WI 54880-1770

Mailing address

916 Hammond Ave
Superior, WI 54880-1770
Phone (715) 299-0522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150709001315 WI Practitioner - Chiropractic 3375855075 Reassigns benefits to 1 organization
Practice locations: Superior, WI

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chiro One Wellness Center of la Crosse LLCGroup PAC ID 4688042237, 2 clinicians

Practice addresses (Care Compare)

402 6TH St S
La Crosse, WI 54601-4505
Phone (608) 785-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chiro One Wellness Center of la Crosse LLC Chiropractor CurrentSince Feb 4, 2026 Accepting new patients
Randy Joten D.C. S.C. Chiropractor CurrentSince Jan 2, 2022 Accepting new patients
Coulee Chiropractic Clinic, S.C. Chiropractor PastSince Apr 1, 2005 Accepting new patients
Luke Chiropractic & Wellness, S.C. Chiropractor Past Accepting new patients

Locations

402 6th St S
La Crosse, WI 54601
Phone (608) 782-2943

916 Hammond Ave
Superior, WI 54880
Phone (715) 299-0522

916 Hammond Ave
Ste 100
Superior, WI 54880
Phone (715) 392-2476

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1790199503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 HAMMOND AVE",
            "city": "SUPERIOR",
            "state": "WI",
            "postal_code": "548801770",
            "telephone_number": "715-299-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 HAMMOND AVE",
            "city": "SUPERIOR",
            "state": "WI",
            "postal_code": "548801770",
            "telephone_number": "715-299-0522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOTEN",
        "first_name": "RANDY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-19",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5024-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Superior, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.