Baldwin Chiropractic Health Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2850 Issued in WI

Legal business name

BALDWIN CHIROPRACTIC HEALTH CENTER

Doing business as

Durand Chiropractic Health Center

Practice address

319 W Main St
Durand, WI 54736-1148

Phone

(715) 672-4699

Fax

(715) 672-4999

NPI assigned

Dec 5, 2006

Last updated

Aug 22, 2020By 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. Douglas E Jacot, D.C.NPI 1114083912

Title

President

Phone

(715) 672-4699

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Durand Chiropractic Health Center Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Baldwin Chiropractic Health Center

  dba Durand Chiropractic Health Center

  • Chiropractor
  • Baldwin, WI
  • NPI 1912988544

  O20070601000092

  Same enrollment

Locations

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.

• Teri L Adams, D.C.

  • Chiropractor
  • Baldwin, WI
  • NPI 1770653602
  Medicare reassignment Care Compare group NPD
• James Greenwood, DC

  • Chiropractor
  • Menomonie, WI
  • NPI 1457002305
  Medicare reassignment Care Compare group NPD
• Douglas Earl Jacot, D.C.

  • Chiropractor
  • Baldwin, WI
  • NPI 1114083912
  NPD Authorized official
• Steven Huybrecht, D.C.

  • Chiropractor
  • Durand, WI
  • NPI 1043600539
  NPD (past)

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942368634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 W MAIN ST",
            "city": "DURAND",
            "state": "WI",
            "postal_code": "547361148",
            "telephone_number": "715-672-4699",
            "fax_number": "715-672-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 W MAIN ST",
            "city": "DURAND",
            "state": "WI",
            "postal_code": "547361148",
            "telephone_number": "715-672-4699",
            "fax_number": "715-672-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALDWIN CHIROPRACTIC HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACOT",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "715-672-4699",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2850",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "1496",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38864500",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38758200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Durand Chiropractic Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Advent Health Medical Group Primary Care at Durand North
• Lisa Reiland Arkowski, D.C.
• Balanced Path, LLC (Durand Chiropractic Health Center)
• Kristine Kaye Bechard, D.D.S.
• Timmy Earl Bignell, ASSOCIATE DEGREE
• Rene Christine Brahmstadt
• Castleberg Clinic SC
• Chippewa Valley Dental Clinic, LTD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.