Organization Active NPI

Healthy Living Chiropractic, LLC

  • Chiropractor
  • Onalaska, WI
National Provider Identifier
1962790386
Registry record updated Jul 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4521-12 Issued in WI
Legal business name
HEALTHY LIVING CHIROPRACTIC, LLC
Practice address
1857 Sand Lake Rd
Onalaska, WI 54650-1900
Phone
(608) 782-2881
Fax
(608) 781-2882
NPI assigned
Jul 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2011

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

Authorized official

Name
Dr. Breann M Renner, D.C.NPI 1457584484
Title
Owner
Phone
(608) 781-2881

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 4521-12 WI Primary

Addresses

Primary practice location

1857 Sand Lake Rd
Onalaska, WI 54650-1900

Mailing address

1857 Sand Lake Rd
Onalaska, WI 54650-1900
Phone (608) 782-2881

National Provider Directory

National Provider Directory

Locations

1857 Sand Lake Rd
Onalaska, WI 54650
Phone (608) 781-2881

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": "1311033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311033600000",
    "number": "1962790386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1857 SAND LAKE RD",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546501900",
            "telephone_number": "608-782-2881",
            "fax_number": "608-781-2882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1857 SAND LAKE RD",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546501900",
            "telephone_number": "608-782-2881",
            "fax_number": "608-781-2882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY LIVING CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-19",
        "last_updated": "2011-07-19",
        "status": "A",
        "authorized_official_last_name": "RENNER",
        "authorized_official_first_name": "BREANN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-781-2881",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4521-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Onalaska, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.