NPIMap

Organization Active NPI

Madison Upper Cervical Center, LLC

  • Chiropractor
  • Madison, WI
National Provider Identifier
1861764474
Registry record updated Jan 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4675-012 Issued in WI
Legal business name
MADISON UPPER CERVICAL CENTER, LLC
Practice address
6402 Odana Rd
Madison, WI 53719-1123
Phone
(608) 443-1800
Fax
(608) 443-1802
NPI assigned
Jan 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2012

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

Authorized official

Name
Dr. Valeri Joyce Briski, D.C.NPI 1841515657
Title
Owner
Phone
(608) 443-1800

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4675-012 WI Primary

Addresses

Primary practice location

6402 Odana Rd
Madison, WI 53719-1123

Mailing address

6402 Odana Rd
Madison, WI 53719-1123
Phone (608) 443-1800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120416000339 WI Part B Supplier - Clinic/Group Practice 5294996484 Receives reassigned benefits from 3 practitioners
Practice locations: Madison, WI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1327881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327881600000",
    "number": "1861764474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6402 ODANA RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191123",
            "telephone_number": "608-443-1800",
            "fax_number": "608-443-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6402 ODANA RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191123",
            "telephone_number": "608-443-1800",
            "fax_number": "608-443-1802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON UPPER CERVICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-30",
        "last_updated": "2012-01-30",
        "status": "A",
        "authorized_official_last_name": "BRISKI",
        "authorized_official_first_name": "VALERI",
        "authorized_official_middle_name": "JOYCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-443-1800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4675-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2012; 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.