HIGHLAND CHIROPRACTIC SC (NPI# 1487856019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487856019 |
Entity Type | Organization |
Organization Name | HIGHLAND CHIROPRACTIC SC |
Other Organization Name | COMMUNITY CHIROPRACTIC CENTER |
Practice Address |
1501 E Sumner St Hartford WI 53027-2608 |
Practice Telephone | 2626737600 |
Practice Fax Number | 2626737692 |
Mailing Telephone | 2626737600 |
Mailing Fax Number | 2626737692 |
Enumeration Date | 2007-06-05 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. DUSTIN DAVID RIDDLE (DOCTOR) |
Authorized Official Telephone | 2626737600 |
Authorized Official Credential | DC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | 3880-012 | WI | Chiropractic Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 38961800 | 05 |
Other Name | Type Code |
---|---|
Community Chiropractic center | Doing Business As Name - Organization |
Street Address |
1501 E SUMNER ST |
City | HARTFORD |
State | WI |
Zip Code | 53027-2608 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942592860 | Schepp Family Chiropractic LLC | Chiropractor | 1501 E Sumner St, Hartford, WI 53027-2608 | 2011-05-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942792254 | Quad/med, LLC | Clinic/Center | 1900 W. Sumner Street, Hartford, WI 53027 | 2018-06-01 |
1700390242 | Dr. Espinosa Dds Tooth Or Gum, LLC | Dentist | 784 South Main St, Hartford, WI 53027 | 2017-11-20 |
1598169559 | Amy Jo Hoeppner | Registered Nurse | 1621 Falcon Dr., Hartford, WI 53027 | 2014-10-20 |
1205179918 | Susan Aleen Sterman | Technician | 4835 Cty Rd U, Hartford, WI 53027 | 2013-04-01 |
1881927713 | Ross Timothy Koehler | Specialist/Technologist | 1900 W Sumner St, Hartford, WI 53027 | 2009-09-10 |
1518130004 | Kamalpreet Dulai | Family Medicine | 110 Lone Oak Lane, Hartford, WI 53027 | 2008-04-07 |
1679775688 | Kelly M Schroeder | Physical Therapist | 1640 E. Sumner Street, Hartford, WI 53027 | 2007-06-01 |
1871794453 | Sandra Ann Weber | Registered Nurse | 4815 North Merton Drive, Hartford, WI 53027 | 2007-05-30 |
1306051743 | Agnes P Dietenberger | Physical Therapy Assistant | 1640 E. Sumner St., Hartford, WI 53027 | 2007-05-11 |
1164636619 | Robert W Fulton | Physical Therapist | 1640 East Sumner Street, Hartford, WI 53027 | 2007-05-10 |
Find all providers in zip 53027 |
Taxonomy Code | 111N00000X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568927259 | David Rivera | Chiropractor | 239 Campfield Ave, Hartford, CT 06114-2412 | 2019-02-06 |
1033626114 | Chirosport Hartford, PC | Chiropractor | 700 N Vandemark Ave Ste 106, Hartford, SD 57033-2317 | 2018-01-10 |
1619320504 | Wilke Chiropractic LLC | Chiropractor | 45 Hilldale Dr Ste B, Hartford, WI 53027-2637 | 2016-07-15 |
1891063749 | Ashley Ingalls | Chiropractor | 304 W Hwy 38 #122, Hartford, SD 57033 | 2011-12-07 |
1174812234 | Toitanisha J. Witherspoon | Chiropractor | 175 Main St Fl 2, Hartford, CT 06106-1818 | 2011-03-29 |
1770880478 | John Nicholas Stefanopoulos | Chiropractor | 1041 Us Highway 231 N, Hartford, KY 42347-9592 | 2011-02-16 |
1346481249 | James Allan Wilke | Chiropractor | 45 Hilldale Dr, Ste B, Hartford, WI 53027-2637 | 2009-03-23 |
1235343096 | Nicole Bittner | Chiropractor | 1 Tower Sq # 4gs, Hartford, CT 06183-0001 | 2007-05-10 |
1962623421 | Daniel S Hersh | Chiropractor | 105 Hungerford Street, Hartford, CT 06106 | 2007-05-01 |
1699896142 | Rocco V. Giordano | Chiropractor | 36 Grand St, Hartford, CT 06106-4608 | 2007-04-03 |
Find all providers in HARTFORD |
Please comment or provide details below to improve the information on HIGHLAND CHIROPRACTIC SC.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.