Individual provider Active NPI

Craig E Buchanan, D.C.

  • Chiropractor
  • Monroe, WI
National Provider Identifier
1821170143
Registry record updated Mar 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01544-012 Issued in WI
Practice address
714 4TH Ave W
Monroe, WI 53566-1039
Phone
(608) 328-8304
Fax
(608) 328-1870
NPI assigned
Oct 19, 2006
Last updated
Mar 4, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01544-012 WI Primary

Addresses

Primary practice location

714 4TH Ave W
Monroe, WI 53566-1039

Mailing address

714 4TH Ave W
Monroe, WI 53566-1039
Phone (608) 328-8304

Other identifiers 1

IdentifierTypeStateIssuer
38766700MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01544-012WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Behrell Stateler Chiropractic LLC Chiropractor PastSince Dec 12, 2021 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299196800000",
    "number": "1821170143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 4TH AVE W",
            "city": "MONROE",
            "state": "WI",
            "postal_code": "535661039",
            "telephone_number": "608-328-8304",
            "fax_number": "608-328-1870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 4TH AVE W",
            "city": "MONROE",
            "state": "WI",
            "postal_code": "535661039",
            "telephone_number": "608-328-8304",
            "fax_number": "608-328-1870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHANAN",
        "first_name": "CRAIG",
        "middle_name": "E",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2011-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "01544-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38766700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2011; 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.