Organization Active NPI

Ac Chiropractic LLC

Doing business as Christianson Back & Neck Center

  • Chiropractor
  • Spring Green, WI
National Provider Identifier
1891004545
Registry record updated Mar 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3115012 Issued in WI
Legal business name
AC CHIROPRACTIC LLC
Doing business as
Christianson Back & Neck Center
Practice address
150 E Jefferson St
Spring Green, WI 53588-8000
Phone
(608) 588-2242
Fax
(608) 588-9384
NPI assigned
Sep 29, 2010
Last updated
Mar 18, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2015

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

Authorized official

Name
Dr. Anthony T Christianson, D.C.NPI 1295863975
Title
President
Phone
(608) 588-2242

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 3115012 WI Primary

Addresses

Primary practice location

150 E Jefferson St
Spring Green, WI 53588-8000

Mailing address

150 E Jefferson St
Spring Green, WI 53588-8000
Phone (608) 588-2242

Other names 1

  • Christianson Back & Neck Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110209000896 WI Part B Supplier - Clinic/Group Practice 3476733353 Receives reassigned benefits from 2 practitioners
Practice locations: Spring Green, WI

National Provider Directory

National Provider Directory

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": "1285718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426636800000",
    "number": "1891004545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 E JEFFERSON ST",
            "city": "SPRING GREEN",
            "state": "WI",
            "postal_code": "535888000",
            "telephone_number": "608-588-2242",
            "fax_number": "608-588-9384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E JEFFERSON ST",
            "city": "SPRING GREEN",
            "state": "WI",
            "postal_code": "535888000",
            "telephone_number": "608-588-2242",
            "fax_number": "608-588-9384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AC CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-29",
        "last_updated": "2015-03-18",
        "status": "A",
        "authorized_official_last_name": "CHRISTIANSON",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "608-588-2242",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3115012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Christianson Back & Neck Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spring Green, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; 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.