Organization Active NPI

Nolte Chiropractic LLC

  • Chiropractor
  • Janesville, WI
National Provider Identifier
1861625832
Registry record updated Sep 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2596 Issued in WI
Legal business name
NOLTE CHIROPRACTIC LLC
Practice address
942 N Parker Dr
Janesville, WI 53545-0710
Phone
(608) 741-0222
NPI assigned
Aug 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2012

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

Authorized official

Name
Jeffery Dean Nolte, D.C
Title
Member
Phone
(608) 741-0222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2596 WI Primary

Addresses

Primary practice location

942 N Parker Dr
Janesville, WI 53545-0710

Mailing address

942 N Parker Dr
Janesville, WI 53545-0710
Phone (608) 741-0222

Other identifiers 1

IdentifierTypeStateIssuer
38849300MedicaidWI

National Provider Directory

National Provider Directory

Locations

942 N Parker Dr
Janesville, WI 53545
Phone (608) 741-0222

4324 Milton Ave
Janesville, WI 53546
Phone (608) 740-0222

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1251158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347494400000",
    "number": "1861625832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "942 N PARKER DR",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535450710",
            "telephone_number": "608-741-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "942 N PARKER DR",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535450710",
            "telephone_number": "608-741-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOLTE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-25",
        "last_updated": "2012-09-13",
        "status": "A",
        "authorized_official_last_name": "NOLTE",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "608-741-0222",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38849300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Janesville, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.