Organization Active NPI

Rose Chiropractic

  • Chiropractor
  • Madison, WI
National Provider Identifier
1881904456
Registry record updated Aug 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2335 Issued in WI
Legal business name
ROSE CHIROPRACTIC
Practice address
2037 Winnebago Street
Madison, WI 53704-5370
Phone
(608) 249-2188
Fax
(608) 249-2253
NPI assigned
Oct 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2019

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

Authorized official

Name
Dr. Cynthia Rose, D.C.
Title
Owner
Phone
(608) 249-2188

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2335 WI Primary

Addresses

Primary practice location

2037 Winnebago Street
Madison, WI 53704-5370

Mailing address

2702 International LN Ste 208
Madison, WI 53704-3117
Phone (608) 249-2188

Other identifiers 1

IdentifierTypeStateIssuer
38837500MedicaidWI

National Provider Directory

National Provider Directory

Locations

2702 International Ln
Ste 208
Madison, WI 53704
Phone (608) 249-2188

2037 Winnebago St
Madison, WI 53704
Phone (608) 249-2188

NPI Registry JSON

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

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565568000000",
    "number": "1881904456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2702 INTERNATIONAL LN STE 208",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537043117",
            "telephone_number": "608-249-2188",
            "fax_number": "608-249-2253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2037 WINNEBAGO STREET",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537045370",
            "telephone_number": "608-249-2188",
            "fax_number": "608-249-2253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-18",
        "last_updated": "2019-08-12",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-249-2188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38837500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.