Kirchman Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2288 Issued in WI

Legal business name

KIRCHMAN CHIROPRACTIC, LLC

Practice address

637 Main St
Luxemburg, WI 54217-1125

Phone

(920) 845-5654

Fax

(920) 845-5640

NPI assigned

Dec 1, 2006

Organization subpart

No

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

Authorized official

Name

Samantha Dawalt, DCNPI 1891331104

Title

Doctor of Chiropractic/Owner

Phone

(920) 845-5654

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samantha J Dawalt, DC

  • Chiropractor
  • Luxemburg, WI
  • NPI 1891331104
  Medicare reassignment Care Compare group NPD Authorized official
• Guy Dawalt, DC

  • Chiropractor
  • Luxemburg, WI
  • NPI 1598354649
  Medicare reassignment Care Compare group NPD
• Lance Willard Kirchman, D.C.

  • Chiropractor
  • Luxemburg, WI
  • NPI 1013978832
  Medicare reassignment NPD
• William Joseph Bredael, B.S., D.C.

  • Chiropractor
  • Luxemburg, WI
  • NPI 1285696302
  NPD (past)

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719273600000",
    "number": "1982772729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 236",
            "city": "LUXEMBURG",
            "state": "WI",
            "postal_code": "542171125",
            "telephone_number": "920-845-5654",
            "fax_number": "920-845-5640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 MAIN ST",
            "city": "LUXEMBURG",
            "state": "WI",
            "postal_code": "542171125",
            "telephone_number": "920-845-5654",
            "fax_number": "920-845-5640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRCHMAN CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2024-06-25",
        "status": "A",
        "authorized_official_last_name": "DAWALT",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC/OWNER",
        "authorized_official_telephone_number": "920-845-5654",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100002334",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra A Jauquet, LPN
• Jays Legacy
• Jennifer S Johnson, RPH
• Gwynne C Kangas, LPN
• Jean L Keim, N.P.
• Lance Willard Kirchman, D.C.
• Eric John Lecloux, PHARM D.
• Sally Jo Ledvina, APNP
• Katherine Ludolph
• Luxemburg Casco School District

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.