Organization Active NPI

Schepp Family Chiropractic LLC

  • Chiropractor
  • Hartford, WI
National Provider Identifier
1942592860
Registry record updated Jun 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4711-12 Issued in WI
Legal business name
SCHEPP FAMILY CHIROPRACTIC LLC
Practice address
1501 E Sumner St
Hartford, WI 53027-2608
Phone
(608) 698-2425
NPI assigned
May 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2011

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

Authorized official

Name
Dane A Schepp, D.C.NPI 1528357969
Title
Chiropractor
Phone
(608) 698-2425

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 4711-12 WI Primary

Addresses

Primary practice location

1501 E Sumner St
Hartford, WI 53027-2608

Mailing address

1501 E Sumner St
Hartford, WI 53027-2608
Phone (608) 698-2425

Other names 1

  • Community Chiropractic Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110628000613 WI Part B Supplier - Clinic/Group Practice 6608054382 Receives reassigned benefits from 1 practitioner
Practice locations: Hartford, WI

National Provider Directory

National Provider Directory

Locations

1501 E Sumner St
Hartford, WI 53027
Phone (262) 673-7600

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": "1305072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307404800000",
    "number": "1942592860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 E SUMNER ST",
            "city": "HARTFORD",
            "state": "WI",
            "postal_code": "530272608",
            "telephone_number": "608-698-2425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 E SUMNER ST",
            "city": "HARTFORD",
            "state": "WI",
            "postal_code": "530272608",
            "telephone_number": "608-698-2425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHEPP FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-11",
        "last_updated": "2011-06-07",
        "status": "A",
        "authorized_official_last_name": "SCHEPP",
        "authorized_official_first_name": "DANE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "608-698-2425",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4711-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hartford, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; 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.