Spinal Health and Correction Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4240012 Issued in WI

Legal business name

SPINAL HEALTH AND CORRECTION CENTER

Practice address

1468 N High Point Rd
Middleton, WI 53562-3683

Phone

(608) 833-7422

Fax

(608) 833-7421

NPI assigned

Jul 30, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Brent D. Kowalke, D.C.NPI 1356434526

Title

President

Phone

(608) 434-0834

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.

• Brent David Kowalke, D.C.

  • Chiropractor
  • Middleton, WI
  • NPI 1356434526
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1375142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419206400000",
    "number": "1831521053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1468 N HIGH POINT RD",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535623683",
            "telephone_number": "608-833-7422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1468 N HIGH POINT RD",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535623683",
            "telephone_number": "608-833-7422",
            "fax_number": "608-833-7421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINAL HEALTH AND CORRECTION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-30",
        "last_updated": "2014-12-22",
        "status": "A",
        "authorized_official_last_name": "KOWALKE",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "608-434-0834",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4240012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leaf Ye Song, OMD, MS, LAC
• Kimberly Anne Sorenson, CPO
• Gustavo Alexander Sosa
• Jose Rafael Soto
• Stephanie Spence
• Joseph P Spurgeon, MD
• Christy Staats, APNP
• Karrah Staats, APSW
• Elizabeth O'Neil Stadtmueller, CCC-SLP
• Lindsey Marie Stanek

• Chiropractor in Middleton, WI
• Providers in Middleton, 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, 2014; 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.