Sauk Spine Chiropractic, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SAUK SPINE CHIROPRACTIC, INC.

Practice address

520 Water St
Sauk City, WI 53583-1141

Phone

(608) 370-6408

NPI assigned

May 25, 2023

Organization subpart

No

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

Authorized official

Name

Dr. John Thomas Olsen, DCNPI 1629659677

Title

Ceo

Phone

(608) 359-1301

Specialties & licenses 1

Addresses

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.

• John Thomas Bradley Olsen, DC

  • Chiropractor
  • Sauk City, WI
  • NPI 1629659677
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685491200000",
    "number": "1881386878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 WATER ST",
            "city": "SAUK CITY",
            "state": "WI",
            "postal_code": "535831141",
            "telephone_number": "608-370-6408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 WATER ST",
            "city": "SAUK CITY",
            "state": "WI",
            "postal_code": "535831141",
            "telephone_number": "608-370-6408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAUK SPINE CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-25",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A",
        "authorized_official_last_name": "OLSEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "608-359-1301",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shanna L. Rufener, SLP
• Diane Lynn Ryan-Pete, RN
• Sauk City Pharmacy Inc
• Sauk Prairie Healthcare, Inc.
• Sauk Prairie Schools
• Todd A Schad, M.D.
• Kyla Schaub
• Joanna K Schindler, OTR
• Maureen Ann Schlager, RN CDE
• Vanessa Schoenherr

• Chiropractor in Sauk City, WI
• Providers in Sauk City, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; 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.