Organization Active NPI

Best Chiropractic Clinic SC

  • Chiropractor
  • Hudson, WI
National Provider Identifier
1881774735
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3008 AND 3108 Issued in WI
Legal business name
BEST CHIROPRACTIC CLINIC SC
Practice address
1610 Maxwell Dr
Ste 100
Hudson, WI 54016-8709
Phone
(715) 386-9393
Fax
(715) 386-9885
NPI assigned
Oct 16, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Matthew Robert Nelson, DCNPI 1083794192
Title
President
Phone
(715) 386-9393

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
Chiropractor 111N00000X 3008 AND 3108 WI Primary

Addresses

Primary practice location

1610 Maxwell Dr
Ste 100
Hudson, WI 54016-8709

Mailing address

1610 Maxwell Dr
Ste 100
Hudson, WI 54016-8709
Phone (715) 386-9393

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050411000018 WI Part B Supplier - Clinic/Group Practice 3274570403 Receives reassigned benefits from 2 practitioners
Practice locations: Hudson, WI

National Provider Directory

National Provider Directory

Locations

1380 Hosford St
Hudson, WI 54016
Phone (715) 386-9393

1610 Maxwell Dr
Ste 100
Hudson, WI 54016
Phone (715) 386-9393

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881774735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 MAXWELL DR",
            "address_2": "STE 100",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540168709",
            "telephone_number": "715-386-9393",
            "fax_number": "715-386-9885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 MAXWELL DR",
            "address_2": "STE 100",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540168709",
            "telephone_number": "715-386-9393",
            "fax_number": "715-386-9885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEST CHIROPRACTIC CLINIC SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "715-386-9393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3008 AND 3108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Aug 22, 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.