Adjust Your Life Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4615-12 Issued in WI

Legal business name

ADJUST YOUR LIFE CHIROPRACTIC, LLC

Practice address

2850 Cottage Grove Rd
Cottage Grove, WI 53527-8862

Phone

(608) 839-3513

Fax

(608) 839-3533

NPI assigned

Dec 22, 2011

Last updated

Dec 22, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Caroline Ruppert, D.C.NPI 1881914133

Title

Member

Phone

(608) 839-3513

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 1

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.

• Caroline Jean Ruppert, D.C.

  • Chiropractor
  • Cottage Grove, WI
  • NPI 1881914133
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1324512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324512000000",
    "number": "1821367798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 COTTAGE GROVE RD",
            "city": "COTTAGE GROVE",
            "state": "WI",
            "postal_code": "535278862",
            "telephone_number": "608-839-3513",
            "fax_number": "608-839-3533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 COTTAGE GROVE RD",
            "city": "COTTAGE GROVE",
            "state": "WI",
            "postal_code": "535278862",
            "telephone_number": "608-839-3513",
            "fax_number": "608-839-3533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADJUST YOUR LIFE CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-22",
        "last_updated": "2011-12-22",
        "status": "A",
        "authorized_official_last_name": "RUPPERT",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "608-839-3513",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4615-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seth Erik Anderson, DC
• Suzanne M Anderson, RPH
• Applewhite Dental Wisconsin, P.C. (Excellence in Dentistry CG)
• Allison Rohease Attoe, PHARM D
• Kimberly M Belmarez, CCC-SLP

• Chiropractor in Cottage Grove, WI
• Providers in Cottage Grove, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2011; 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.