NPIMap

Organization Active NPI

Torson Enterprises LLC

  • Chiropractor
  • Baraboo, WI
National Provider Identifier
1962811299
Registry record updated Aug 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3855-012 Issued in WI
Legal business name
TORSON ENTERPRISES LLC
Practice address
550 W Maple St
Baraboo, WI 53913-1166
Phone
(608) 963-4100
Fax
(608) 355-4107
NPI assigned
Aug 12, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2014

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

Authorized official

Name
Dr. Jason C Theobald, D.C.NPI 1962509604
Title
Ceo
Phone
(608) 963-4507

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 3855-012 WI Primary

Addresses

Primary practice location

550 W Maple St
Baraboo, WI 53913-1166

Mailing address

550 W Maple St
Suite #201
Baraboo, WI 53913-1166
Phone (608) 355-4100

Other names 1

  • Back in Action Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141215001137 WI Part B Supplier - Clinic/Group Practice 9739401100 Receives reassigned benefits from 5 practitioners
Practice locations: Baraboo, WI

National Provider Directory

National Provider Directory

Locations

550 W Maple St
#201
Baraboo, WI 53913
Phone (608) 355-4100

Interoperability endpoints

  • Direct secure messaging: drtheo13@biac0005.direct.chirotouch.md
  • Direct secure messaging: agudie@biac0005.direct.chirotouch.md

Practitioners & affiliated clinicians

Practitioners 6

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": "1407801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407801600000",
    "number": "1962811299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 W MAPLE ST",
            "address_2": "SUITE #201",
            "city": "BARABOO",
            "state": "WI",
            "postal_code": "539131166",
            "telephone_number": "608-355-4100",
            "fax_number": "608-355-4107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 W MAPLE ST",
            "city": "BARABOO",
            "state": "WI",
            "postal_code": "539131166",
            "telephone_number": "608-963-4100",
            "fax_number": "608-355-4107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TORSON ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-12",
        "last_updated": "2014-08-12",
        "status": "A",
        "authorized_official_last_name": "THEOBALD",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "608-963-4507",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3855-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Back in Action Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baraboo, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.