Organization Active NPI

Fenske Holistic Healthcare Center LLC

  • Chiropractor
  • Middleton, WI
National Provider Identifier
1801677828
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
FENSKE HOLISTIC HEALTHCARE CENTER LLC
Practice address
7702 Terrace Ave Ste 2
Middleton, WI 53562-3285
Phone
(608) 836-8883
NPI assigned
Oct 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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

Authorized official

Name
Dr. Nicole Kay Crawford Fenske, DCNPI 1558439984
Title
Owner
Phone
(608) 836-8883

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

7702 Terrace Ave Ste 2
Middleton, WI 53562-3285

Mailing address

6714 North Ave
Middleton, WI 53562-2733
Phone (608) 836-8883

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231107003073 WI Part B Supplier - Clinic/Group Practice 4688021033 Receives reassigned benefits from 1 practitioner
Practice locations: Middleton, WI

National Provider Directory

National Provider Directory

Locations

7702 Terrace Ave
Ste 2
Middleton, WI 53562
Phone (608) 836-8883

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1696550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696550400000",
    "number": "1801677828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6714 NORTH AVE",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535622733",
            "telephone_number": "608-836-8883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7702 TERRACE AVE STE 2",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535623285",
            "telephone_number": "608-836-8883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FENSKE HOLISTIC HEALTHCARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-06",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A",
        "authorized_official_last_name": "FENSKE",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "KAY CRAWFORD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-836-8883",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.