Badgerland Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4907-12 Issued in WI

Legal business name

BADGERLAND CHIROPRACTIC LLC

Practice address

2025 Old Humes Rd
Janesville, WI 53545-0275

Phone

(608) 754-0148

Fax

(608) 754-0217

NPI assigned

Jul 29, 2013

Last updated

Jan 3, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ryan Francis Dunphy, D.C.NPI 1912244765

Title

Owner

Phone

(608) 445-9911

Specialties & licenses 1

Addresses

Other identifiers 1

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, and the practitioner matching its NPPES authorized official.

• Ryan Francis Dunphy, D.C.

  • Chiropractor
  • Janesville, WI
  • NPI 1912244765
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1375056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388707200000",
    "number": "1861834020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 OLD HUMES RD",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535450275",
            "telephone_number": "608-754-0148",
            "fax_number": "608-754-0217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 OLD HUMES RD",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535450275",
            "telephone_number": "608-754-0148",
            "fax_number": "608-754-0217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BADGERLAND CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-29",
        "last_updated": "2014-01-03",
        "status": "A",
        "authorized_official_last_name": "DUNPHY",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-445-9911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4907-12",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1912244765",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tatiana Ann Bach, NP
• Andrew Bachman, DDS
• Sara Bachofen, LAT
• Aimee Bade-McEvoy, RN
• Badger Veterinary Hospital
• David Vincent Baewer, MD PHD
• Sonja Bagley
• Lisa M Bahling, RN
• Meryum Ishrat Baig, MD
• Mirza Omer Mahmood Baig, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.