Organization Active NPI

Hope Chiropractic, LLC

  • Chiropractor
  • Hudson, WI
National Provider Identifier
1881764900
Registry record updated May 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3735-012 Issued in WI
Legal business name
HOPE CHIROPRACTIC, LLC
Practice address
832 Carmichael Rd
Hudson, WI 54016-7759
Phone
(715) 381-1800
NPI assigned
Nov 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2020

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

Authorized official

Name
Dr. Carolyn M Wanken, DCNPI 1306953088
Title
Officer
Phone
(715) 381-1800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3735-012 WI Primary

Addresses

Primary practice location

832 Carmichael Rd
Hudson, WI 54016-7759

Mailing address

832 Carmichael Rd
Hudson, WI 54016-7759
Phone (715) 381-1800

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://patientportal.mychirotouch.com/Portal/Default.aspx

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061120000251 WI Part B Supplier - Clinic/Group Practice 4688672009 Receives reassigned benefits from 1 practitioner
Practice locations: Hudson, WI

National Provider Directory

National Provider Directory

Locations

832 Carmichael Rd
Hudson, WI 54016
Phone (715) 303-3200

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589932800000",
    "number": "1881764900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "832 CARMICHAEL RD",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540167759",
            "telephone_number": "715-381-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "832 CARMICHAEL RD",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540167759",
            "telephone_number": "715-381-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A",
        "authorized_official_last_name": "WANKEN",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "715-381-1800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3735-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://patientportal.mychirotouch.com/Portal/Default.aspx",
            "affiliation": "N",
            "endpointDescription": "patient portal",
            "address_1": "832 Carmichael Rd",
            "city": "Hudson",
            "state": "WI",
            "country_code": "US",
            "postal_code": "540167759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hudson, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; 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.