Organization Active NPI

Cambridge Clinic of Chiropractic, L.C.C.

Doing business as Cambridge Clinic of Chiropractic

  • Chiropractor
  • Cambridge, WI
National Provider Identifier
1841244233
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3783-012 Issued in WI
Legal business name
CAMBRIDGE CLINIC OF CHIROPRACTIC, L.C.C.
Doing business as
Cambridge Clinic of Chiropractic
Practice address
416 N Main St
Cambridge, WI 53523-9221
Phone
(608) 423-4666
NPI assigned
May 20, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Matthew David Dipiazza, D.C.NPI 1295793925
Title
Doctor of Chiropractic
Phone
(608) 423-4666

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3783-012 WI Primary

Addresses

Primary practice location

416 N Main St
Cambridge, WI 53523-9221

Mailing address

416 N Main St
Cambridge, WI 53523-9221
Phone (608) 423-4666

Other names 1

  • Cambridge Clinic of Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060525000165 WI Part B Supplier - Clinic/Group Practice 6002827334 Receives reassigned benefits from 1 practitioner
Practice locations: Cambridge, WI

National Provider Directory

National Provider Directory

Locations

416 W Main St
Cambridge, WI 53523
Phone (608) 423-4666

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.

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841244233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 N MAIN ST",
            "city": "CAMBRIDGE",
            "state": "WI",
            "postal_code": "535239221",
            "telephone_number": "608-423-4666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 N MAIN ST",
            "city": "CAMBRIDGE",
            "state": "WI",
            "postal_code": "535239221",
            "telephone_number": "608-423-4666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMBRIDGE CLINIC OF CHIROPRACTIC, L.C.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DIPIAZZA",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "608-423-4666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3783-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cambridge Clinic of Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cambridge, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.