Active NPI
Laura Ann Dull, DC
- Chiropractor
- Waukesha, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3572
- Practice address
- 310 W Saint Paul Ave
5
Waukesha, WI 53188-5119 - Phone
- (262) 542-9814
- Fax
- (262) 542-9826
- NPI assigned
- Aug 24, 2006
- Last updated
- Nov 6, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3572 | WI | Primary |
Addresses
Primary practice location
310 W Saint Paul Ave
5
Waukesha, WI 53188-5119
Mailing address
310 W Saint Paul Ave
5
Waukesha, WI 53188-5119
Phone (262) 542-9814
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38920300 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
811 N Grandview Blvd
Suite a
Waukesha, WI 53188-2894
Phone (262) 542-9814
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiropractic Care Center-Waukesha,LLC | Chiropractor | Current | Accepting new patients |
| Chiropractic Care Centers, S.C. | Chiropractor | Past | Accepting new patients |
Locations
310 W Saint Paul Ave
Ste 5
Waukesha, WI 53188
Phone (262) 542-9814
811 N Grandview Blvd
Ste A
Waukesha, WI 53188
Phone (262) 542-9814
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.
-
- Chiropractor
- Greendale, WI
- NPI 1063693166
-
dba Chiropractic Care Center - Waukesha
- Chiropractor
- Waukesha, WI
- NPI 1871634345
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194307200000",
"number": "1831206879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 W SAINT PAUL AVE",
"address_2": "5",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531885119",
"telephone_number": "262-542-9814",
"fax_number": "262-542-9826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 W SAINT PAUL AVE",
"address_2": "5",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531885119",
"telephone_number": "262-542-9814",
"fax_number": "262-542-9826"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DULL",
"first_name": "LAURA",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-24",
"last_updated": "2007-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "3572",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38920300",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waukesha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; 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.