Duda Chiropractic, S.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3119-012 Issued in WI

Legal business name

DUDA CHIROPRACTIC, S.C.

Practice address

3110 Gilbert St
Marinette, WI 54143-1934

Phone

(715) 732-4018

Fax

(715) 735-6864

NPI assigned

Jan 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Charles R Duda, D.C.

Title

Owner

Phone

(715) 732-4018

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Deanna Wauters, LMT

  • Massage Therapist
  • Marinette, WI
  • NPI 1639981525
  NPD
• Suzanne Eickert, APNP, DC

  • Nurse Practitioner
  • De Pere, WI
  • NPI 1629034509

  Chiropractor

  NPD (past)
• Kimberly A. Horsfall, D.C.

  • Chiropractor
  • Barneveld, WI
  • NPI 1407885767
  NPD (past)
• Kayley Nelson, DC

  • Chiropractor
  • Green Bay, WI
  • NPI 1104786359
  NPD (past)
• Rebecca J Super, D.C.

  • Chiropractor
  • Wisconsin Rapids, WI
  • NPI 1477533818
  NPD (past)

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502755200000",
    "number": "1790835700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3110 GILBERT ST",
            "city": "MARINETTE",
            "state": "WI",
            "postal_code": "541431934",
            "telephone_number": "715-732-4018",
            "fax_number": "715-735-6864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 GILBERT ST",
            "city": "MARINETTE",
            "state": "WI",
            "postal_code": "541431934",
            "telephone_number": "715-732-4018",
            "fax_number": "715-735-6864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUDA CHIROPRACTIC, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2017-08-15",
        "status": "A",
        "authorized_official_last_name": "DUDA",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-732-4018",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3119-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4724161",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38999700",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "9652126",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Maureen Dohl, FNP-C
• Samuel H Dorchester
• Justin Robert Dorn, MD
• Dr. John Briody
• Allison Dreier, MSW APSW
• Charles R Duda, D.C.
• Janet Dunlap, PT, DPT
• Dragana Durdevic
• Paul Ebben, H.I.S.
• Jessica Ann Ecker, APNP

• Chiropractor in Marinette, WI
• Providers in Marinette, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2017; 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.