NPIMap

Organization Active NPI

Black Earth Chiropractic LLC

  • Health Service Clinic/Center
  • Black Earth, WI
National Provider Identifier
1902146160
Registry record updated Feb 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
4130-012 Issued in WI
Legal business name
BLACK EARTH CHIROPRACTIC LLC
Practice address
9749 Kahl Rd
Black Earth, WI 53515-9516
Phone
(608) 767-2226
NPI assigned
Feb 26, 2013
Last updated
Feb 26, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2013

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

Authorized official

Name
Dr. Dustin Reeson, D.C.NPI 1780757815
Title
Chiropractor/Owner
Phone
(608) 798-3437

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 4130-012 WI Primary

Addresses

Primary practice location

9749 Kahl Rd
Black Earth, WI 53515-9516

Mailing address

9749 Kahl Rd
Black Earth, WI 53515-9516
Phone (608) 767-2226

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1361836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361836800000",
    "number": "1902146160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9749 KAHL RD",
            "city": "BLACK EARTH",
            "state": "WI",
            "postal_code": "535159516",
            "telephone_number": "608-767-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9749 KAHL RD",
            "city": "BLACK EARTH",
            "state": "WI",
            "postal_code": "535159516",
            "telephone_number": "608-767-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACK EARTH CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-26",
        "last_updated": "2013-02-26",
        "status": "A",
        "authorized_official_last_name": "REESON",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "608-798-3437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "WI",
            "license": "4130-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Black Earth, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2013; 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.