Caledonia Chiropractic Clinic, SC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3317-012 Issued in WI

Legal business name

CALEDONIA CHIROPRACTIC CLINIC, SC

Practice address

5401 Douglas Ave
Suite a
Racine, WI 53402

Phone

(262) 681-8829

Fax

(262) 681-8830

NPI assigned

Aug 11, 2006

Last updated

Apr 3, 2013By 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. Timothy P. Schneider, D.C.NPI 1356400519

Title

President

Phone

(262) 681-8829

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 4

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.

• Timothy Paul Schneider, D.C.

  • Chiropractor
  • Racine, WI
  • NPI 1356400519
  Medicare reassignment NPD Authorized official
• Joshua Hamm, LMT

  • Massage Therapist
  • Caledonia, WI
  • NPI 1013809250
  NPD (past)
• Jacob Charles Parenteau, LMT

  • Massage Therapist
  • Caledonia, WI
  • NPI 1326745563
  NPD (past)
• Catherine Rose Ulrich, OT

  • Physical Rehabilitation Occupational Therapist
  • Racine, WI
  • NPI 1902196538
  NPD (past)

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364947200000",
    "number": "1881605111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 DOUGLAS AVE",
            "address_2": "SUITE A",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "53402",
            "telephone_number": "262-681-8829",
            "fax_number": "262-681-8830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 DOUGLAS AVE",
            "address_2": "SUITE A",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "53402",
            "telephone_number": "262-681-8829",
            "fax_number": "262-681-8830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALEDONIA CHIROPRACTIC CLINIC, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2013-04-03",
        "status": "A",
        "authorized_official_last_name": "SCHNEIDER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-681-8829",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3317-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39002000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• C & J Transport LLC
• C&Jmedicalllc
• Titania Cabell, RN
• Tammy Cadman, RDH
• Dora Ann Caldwell, MC
• Caledonia Physical Therapy, S.C.
• Mary E. Callahan, N.P.
• Angelica Camacho, RDH
• Dana Cammilleri, LPC
• Steven William Campbell, D.D.S.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2013; 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.