Peak Vestibular Center LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

PEAK VESTIBULAR CENTER LLC

Practice address

596 Outpost Cir Ste J
Hudson, WI 54016-7889

Phone

(715) 690-2211

NPI assigned

Mar 15, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Tyler Steward

Title

Owner

Phone

(715) 456-5548

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1552608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639958400000",
    "number": "1871052167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 GIRARD ST",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540161915",
            "telephone_number": "715-456-5548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "596 OUTPOST CIR STE J",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540167889",
            "telephone_number": "715-690-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK VESTIBULAR CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-15",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A",
        "authorized_official_last_name": "STEWARD",
        "authorized_official_first_name": "TYLER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-456-5548",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; 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.