Organization Active NPI

Gallagher Chiropractic

  • Rehabilitation Clinic/Center
  • Mazomanie, WI
National Provider Identifier
1871877670
Registry record updated Sep 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
3549-012 Issued in WI
Legal business name
GALLAGHER CHIROPRACTIC
Practice address
506 Crocker St
Suite #1
Mazomanie, WI 53560-9425
Phone
(608) 795-4820
Fax
(608) 795-4879
NPI assigned
Sep 28, 2011
Organization subpart
Yes
Parent organization
GALLAGHER CHIROPRACTIC S.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 28, 2011

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

Authorized official

Name
Dr. Michael David Gallagher, D.C
Title
Chiropractor
Phone
(608) 795-4820

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X 3549-012 WI Primary

Addresses

Primary practice location

506 Crocker St
Suite #1
Mazomanie, WI 53560-9425

Mailing address

506 Crocker St
Suite #1
Mazomanie, WI 53560-9425
Phone (608) 795-4820

National Provider Directory

National Provider Directory
Part of
Gallagher Chiropractic SC

Locations

506 Crocker St
Ste 1
Mazomanie, WI 53560
Phone (608) 795-4820

NPI Registry JSON

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

{
    "created_epoch": "1317168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317168000000",
    "number": "1871877670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 CROCKER ST",
            "address_2": "SUITE #1",
            "city": "MAZOMANIE",
            "state": "WI",
            "postal_code": "535609425",
            "telephone_number": "608-795-4820",
            "fax_number": "608-795-4879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 CROCKER ST",
            "address_2": "SUITE #1",
            "city": "MAZOMANIE",
            "state": "WI",
            "postal_code": "535609425",
            "telephone_number": "608-795-4820",
            "fax_number": "608-795-4879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALLAGHER CHIROPRACTIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GALLAGHER CHIROPRACTIC S.C.",
        "enumeration_date": "2011-09-28",
        "last_updated": "2011-09-28",
        "status": "A",
        "authorized_official_last_name": "GALLAGHER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "608-795-4820",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "WI",
            "license": "3549-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mazomanie, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; 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.