Chiro One Wellness Center of Chippewa Falls, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

CHIRO ONE WELLNESS CENTER OF CHIPPEWA FALLS, LLC

Practice address

1650 Hallie Rd
Chippewa Falls, WI 54729-6521

Phone

(630) 468-1824

NPI assigned

Apr 16, 2019

Organization subpart

No

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

Authorized official

Name

Matthew Frahm, DCNPI 1801060819

Title

DC

Phone

(414) 491-0096

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Practitioners 3

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

• Kevin Elmer Schultz, D.C.

  • Chiropractor
  • Chippewa Falls, WI
  • NPI 1588691919
  Medicare reassignment NPD
• Matthew G Frahm, D.C.

  • Chiropractor
  • Bradenton, FL
  • NPI 1801060819
  NPD (past) Authorized official
• Sam Wang, DC

  • Chiropractor
  • Libertyville, IL
  • NPI 1073520136
  NPD (past)

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

{
    "created_epoch": "1555372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571270400000",
    "number": "1811550817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 BUTTERFIELD RD STE 301N",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231266",
            "telephone_number": "630-468-1824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 HALLIE RD",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547296521",
            "telephone_number": "630-468-1824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIRO ONE WELLNESS CENTER OF CHIPPEWA FALLS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-16",
        "last_updated": "2019-10-17",
        "status": "A",
        "authorized_official_last_name": "FRAHM",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "DC",
        "authorized_official_telephone_number": "414-491-0096",
        "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": []
}

• Chippewa Valley Eye Clinic SC
• Chippewa Valley Health Cooperative
• Chippewa Valley Independent Psychiatry LLC
• Chippewa Valley Physical Therapy SC
• Chippewa Valley Wound Care, LLC
• Thomas Patrick Chisholm, M.D.
• Courtney L Christensen, OTR
• Carolyn Christian, M.S., CCC-SLP
• Christman Dental, LTD
• Blane Christman, DDS

• Chiropractor in Chippewa Falls, WI
• Providers in Chippewa Falls, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; 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.