Seth Pelock, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5109-12 Issued in WI

Practice address

2240 Prairie Ave
Suite 5
Beloit, WI 53511-2648

Phone

(608) 290-2366

NPI assigned

Dec 19, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Pelock Chiropractic LLC

  • Chiropractor
  • Beloit, WI
  • NPI 1649641101
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1387411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444348800000",
    "number": "1811318744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 PRAIRIE AVE",
            "address_2": "SUITE 5",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535112648",
            "telephone_number": "608-290-2366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 PRAIRIE AVE",
            "address_2": "SUITE 5",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535112648",
            "telephone_number": "608-290-2366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELOCK",
        "first_name": "SETH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-12-19",
        "last_updated": "2015-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5109-12",
            "primary": true
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "WI",
            "license": "5109-12",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WISCONSIN",
            "identifier": "5109-12",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chelsey Pease
• Amanda Peerboom
• Emarcia Patrice Peete, M.D.
• Brandon Alan Pelletier, M.D.
• Pelock Chiropractic LLC
• Nuria Perez Gordillo, WHNP
• Kayliene Danielle Peschel, FNP-C
• Peter Bouc LLC
• Sarah Jane Petersen, LCSW
• Cheryl S Peterson, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2015; 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.