Chain O' Lakes Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

CHAIN O' LAKES CHIROPRACTIC, LLC

Practice address

830 School St
Waupaca, WI 54981-1633

Phone

(715) 258-2800

Fax

(715) 258-2885

NPI assigned

Oct 14, 2008

Last updated

Dec 9, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Chad Alan Cloutier, D.C.NPI 1710079413

Title

Owner

Phone

(715) 258-2800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

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.

• Chad Alan Cloutier, DC

  • Chiropractor
  • Waupaca, WI
  • NPI 1710079413
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1223942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418083200000",
    "number": "1932351632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 SCHOOL ST",
            "city": "WAUPACA",
            "state": "WI",
            "postal_code": "549811633",
            "telephone_number": "715-258-2800",
            "fax_number": "715-258-2885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 SCHOOL ST",
            "city": "WAUPACA",
            "state": "WI",
            "postal_code": "549811633",
            "telephone_number": "715-258-2800",
            "fax_number": "715-258-2885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAIN O' LAKES CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-14",
        "last_updated": "2014-12-09",
        "status": "A",
        "authorized_official_last_name": "CLOUTIER",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-258-2800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine W Burnett, NP
• Hillary Busch, DNP, APNP, FNC-BC
• Russell F. Butkiewicz, M.D.
• Jeffrey L. Byers, O.D.
• Alyssa Calder, OTR/L
• Chain of Lakes ABA LLC (Chain of Lakes ABA Services)
• Lauren Champion, DPT
• Chiropractic Health Center of Waupaca LLC, Stuart Boelte Sole MBR
• Rhonda C Christians, RN
• Kendra L. Cichy, DPT

• Chiropractor in Waupaca, WI
• Providers in Waupaca, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2014; 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.