Active NPI
Delafield Chiropractic LLC
- Chiropractor
- Delafield, WI
National Provider Identifier
1821271263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3558
- Legal business name
- DELAFIELD CHIROPRACTIC LLC
- Practice address
- 403 Genesee St
Delafield, WI 53018-1814 - Phone
- (262) 646-6400
- Fax
- (262) 646-6443
- NPI assigned
- Dec 7, 2007
- Last updated
- Feb 28, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michelle A. Matson-Riegleman, D.C.
- Title
- Owner
- Phone
- (262) 646-6400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3558 | WI | Primary |
Addresses
Primary practice location
403 Genesee St
Delafield, WI 53018-1814
Mailing address
403 Genesee St
Delafield, WI 53018-1814
Phone (262) 646-6400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3558 | Other | WI | STATE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
403 Genesee St
Delafield, WI 53018
Phone (262) 646-6400
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.
-
- Chiropractor
- Delafield, WI
- NPI 1275926701
-
- Chiropractor
- Delafield, WI
- NPI 1407919061
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196985600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204156800000",
"number": "1821271263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "403 GENESEE ST",
"city": "DELAFIELD",
"state": "WI",
"postal_code": "530181814",
"telephone_number": "262-646-6400",
"fax_number": "262-646-6443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 GENESEE ST",
"city": "DELAFIELD",
"state": "WI",
"postal_code": "530181814",
"telephone_number": "262-646-6400",
"fax_number": "262-646-6443"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DELAFIELD CHIROPRACTIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-07",
"last_updated": "2008-02-28",
"status": "A",
"authorized_official_last_name": "MATSON-RIEGLEMAN",
"authorized_official_first_name": "MICHELLE",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "262-646-6400",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "3558",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE",
"identifier": "3558",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Delafield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; 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.