Active NPI
Vitality Enterprises, LLC
Doing business as Wussow Chiropractic
- Chiropractor
- Middleton, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- VITALITY ENTERPRISES, LLC
- Doing business as
- Wussow Chiropractic
- Practice address
- 8434 Old Sauk Rd
Middleton, WI 53562-4367 - Phone
- (608) 833-1114
- NPI assigned
- Jan 8, 2007
- Last updated
- May 21, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brian R Wussow, D.C.
- Title
- Owner
- Phone
- (608) 833-1114
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
8434 Old Sauk Rd
Middleton, WI 53562-4367
Mailing address
8434 Old Sauk Rd
Middleton, WI 53562-4367
Phone (608) 833-1114
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000035554 | Other | WI | MEDICARE PTAN |
Other names 1
- Wussow Chiropractic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
8434 Old Sauk Rd
Middleton, WI 53562
Phone (608) 833-1114
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Chiropractor
- Middleton, WI
- NPI 1205921400
-
- Chiropractor
- Middleton, WI
- NPI 1992002380
-
- Chiropractor
- Madison, WI
- NPI 1578600656
-
- Chiropractor
- Middleton, WI
- NPI 1558530535
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1369094400000",
"number": "1942358718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8434 OLD SAUK RD",
"city": "MIDDLETON",
"state": "WI",
"postal_code": "535624367",
"telephone_number": "608-833-1114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8434 OLD SAUK RD",
"city": "MIDDLETON",
"state": "WI",
"postal_code": "535624367",
"telephone_number": "608-833-1114"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VITALITY ENTERPRISES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-08",
"last_updated": "2013-05-21",
"status": "A",
"authorized_official_last_name": "WUSSOW",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "608-833-1114",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "000035554",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Wussow Chiropractic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Middleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; 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.