Updike Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4651012 Issued in WI

Legal business name

UPDIKE CHIROPRACTIC, LLC

Practice address

525 McHugh Rd
Holmen, WI 54636-9256

Phone

(608) 526-2854

Fax

(608) 526-1414

NPI assigned

Aug 27, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Chad Gregory Updike, D.C.NPI 1699081224

Title

Owner

Phone

(608) 526-2854

Specialties & licenses 1

Addresses

Other names 1

• Leading Edge Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chad Gregory Updike, D.C.

  • Chiropractor
  • Holmen, WI
  • NPI 1699081224
  Medicare reassignment Authorized official
• Taylor Leigh Brown, D.C.

  • Chiropractor
  • Waunakee, WI
  • NPI 1083126163
  NPD (past)

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

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580774400000",
    "number": "1851607808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 MCHUGH RD",
            "city": "HOLMEN",
            "state": "WI",
            "postal_code": "546369256",
            "telephone_number": "608-526-2854",
            "fax_number": "608-526-2854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 MCHUGH RD",
            "city": "HOLMEN",
            "state": "WI",
            "postal_code": "546369256",
            "telephone_number": "608-526-2854",
            "fax_number": "608-526-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPDIKE CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-27",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A",
        "authorized_official_last_name": "UPDIKE",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-526-2854",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4651012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Leading Edge Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Payton Taylor
• Mary Catherine Terry, DPT, ATC
• Cassandra Lynn Thiessen
• Kelsey Thomas, DC
• Krista Lynn Tracey, M.A., SLP-CCC
• Chad Gregory Updike, D.C.
• Jillian Utz Lebakken, MS
• Carla Verdon
• Jeremy Vierck
• Margaret Wagnerowski, MSN, APNP, CNS-BC

• Chiropractor in Holmen, WI
• Providers in Holmen, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.