Active NPI
Gallagher Chiropractic
- Rehabilitation Clinic/Center
- Mazomanie, WI
National Provider Identifier
1871877670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- License
- 3549-012
- 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.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.