Black River Chiropractic Center SC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

BLACK RIVER CHIROPRACTIC CENTER SC

Practice address

126 S 2ND St
Black River Falls, WI 54615-1726

Phone

(715) 284-2915

Fax

(715) 284-7492

NPI assigned

Aug 9, 2005

Organization subpart

No

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

Authorized official

Name

Ruth V Jean, DC DABCO

Title

President

Phone

(715) 284-2915

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.

• Bruce Allen Davis, DC

  • Chiropractor
  • Neillsville, WI
  • NPI 1952396640
  NPD (past)

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1790786242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 S 2ND ST",
            "city": "BLACK RIVER FALLS",
            "state": "WI",
            "postal_code": "546151726",
            "telephone_number": "715-284-2915",
            "fax_number": "715-284-7492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 S 2ND ST",
            "city": "BLACK RIVER FALLS",
            "state": "WI",
            "postal_code": "546151726",
            "telephone_number": "715-284-2915",
            "fax_number": "715-284-7492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACK RIVER CHIROPRACTIC CENTER SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "JEAN",
        "authorized_official_first_name": "RUTH",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "715-284-2915",
        "authorized_official_credential": "DC DABCO"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38982200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Ruth Bartels
• Trevor Bauer, PHARMD
• Douglas Paul Beaver, PHARMD.
• Kristin Berg, RN
• Fawnah W Bish, RN
• Black River Chiropractic Clinic, SC
• Black River Falls Dental LLC
• Black River Falls Fire Dept
• Black River Family Dentistry LTD
• Black River Health Inc

• Chiropractor in Black River Falls, WI
• Providers in Black River Falls, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.