Organization Active NPI

Healing Hands Chiropractic Center LLC

  • Chiropractor
  • Pittsville, WI
National Provider Identifier
1811185580
Registry record updated Oct 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4283-012 Issued in WI
Legal business name
HEALING HANDS CHIROPRACTIC CENTER LLC
Practice address
5318 1St Ave
Pittsville, WI 54466-9566
Phone
(715) 213-9277
Fax
(715) 884-2513
NPI assigned
Oct 9, 2007
Last updated
Oct 9, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2007

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

Authorized official

Name
Dr. Amanda S Fox, DC
Title
Sole Member
Phone
(715) 213-9277

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4283-012 WI Primary

Addresses

Primary practice location

5318 1St Ave
Pittsville, WI 54466-9566

Mailing address

5318 1St Ave
PO Box 274
Pittsville, WI 54466-9566
Phone (715) 213-9277

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071117000151 WI Part B Supplier - Clinic/Group Practice 4284722612 Receives reassigned benefits from 1 practitioner
Practice locations: Pittsville, WI

National Provider Directory

National Provider Directory

Locations

5318 1st Ave
Pittsville, WI 54466
Phone (715) 213-9277

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1811185580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5318 1ST AVE",
            "address_2": "PO BOX 274",
            "city": "PITTSVILLE",
            "state": "WI",
            "postal_code": "544669566",
            "telephone_number": "715-213-9277",
            "fax_number": "715-884-2513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5318 1ST AVE",
            "city": "PITTSVILLE",
            "state": "WI",
            "postal_code": "544669566",
            "telephone_number": "715-213-9277",
            "fax_number": "715-884-2513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING HANDS CHIROPRACTIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "715-213-9277",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4283-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsville, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.