Organization Active NPI

David Dow Chiropractic SC

  • Chiropractor
  • Madison, WI
National Provider Identifier
1922283142
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3030-012 Issued in WI
Legal business name
DAVID DOW CHIROPRACTIC SC
Practice address
3310 University Ave
Suite 204
Madison, WI 53705-2135
Phone
(608) 233-3588
Fax
(608) 233-5724
NPI assigned
Jan 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
David Dow, DCNPI 1790982916
Title
President
Phone
(608) 233-3588

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 3030-012 WI Primary

Addresses

Primary practice location

3310 University Ave
Suite 204
Madison, WI 53705-2135

Mailing address

3310 University Ave
Suite 204
Madison, WI 53705-2135
Phone (608) 233-3588

Other identifiers 1

IdentifierTypeStateIssuer
38894200MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050801000482 WI Part B Supplier - Clinic/Group Practice 0345278339 Receives reassigned benefits from 1 practitioner
Practice locations: Madison, WI

National Provider Directory

National Provider Directory

Locations

615 N Sherman Ave
Ste 22
Madison, WI 53704
Phone (608) 233-3588

3310 University Ave
Ste 204
Madison, WI 53705
Phone (608) 232-0262

Practitioners & affiliated clinicians

Practitioners 1

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": "1199664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1922283142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3310 UNIVERSITY AVE",
            "address_2": "SUITE 204",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537052135",
            "telephone_number": "608-233-3588",
            "fax_number": "608-233-5724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3310 UNIVERSITY AVE",
            "address_2": "SUITE 204",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537052135",
            "telephone_number": "608-233-3588",
            "fax_number": "608-233-5724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID DOW CHIROPRACTIC SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-07",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "DOW",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "608-233-3588",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3030-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38894200",
            "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 Apr 20, 2008; 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.