CLINTON CHIROPRACTIC CLINIC SC
NPI 1003813817
Chiropractor in Clinton, WI

Active since July 07, 2005
400 OGDEN AVE, CLINTON, WI 53525(608) 676-2210(608) 676-5947 Get Directions Write a Review

NPPES record last updated: November 18, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Clinton Chiropractic Clinic Sc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLINTON CHIROPRACTIC CLINIC SC (NPI 1003813817) is a healthcare organization registered as a chiropractor in Clinton, Wisconsin and active in the NPI registry since July 2005. The organization lists Brian D Dittmann, Owner Operator, as its authorized official.

NPPES Registry Identity

NPI1003813817
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameCLINTON CHIROPRACTIC CLINIC SC
Location Address400 OGDEN AVEClinton, WI 53525-9005
Mailing Address400 Ogden AveClinton, WI 53525-9005 · (608) 676-2210 · Fax (608) 676-5947
Fax(608) 676-5947
Organization SubpartNo
Authorized OfficialBrian D DittmannOwner Operator · (608) 676-2210
Enumeration DateJuly 7, 2005
Last NPPES UpdateNovember 18, 2010
✔ NPI 1003813817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WI · 3029012
Definition
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.
400 OGDEN AVE, Clinton, WI 53525

Other Names 1

Other NameClinton Chiropractic Clinic Sc

Other Identifiers 2

Medicare PIN00035809WI
Medicare UPINU48813

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clinton Chiropractic Clinic Sc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Clinton Chiropractic Clinic Sc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1144381971
400 OGDEN AVE
Clinton, WI 53525
(608) 676-2210
✔ Accepts Medicare0.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clinton Chiropractic Clinic Sc's NPI number?

The NPI number for Clinton Chiropractic Clinic Sc is 1003813817. It was assigned to this organization in the NPPES registry on July 7, 2005.

Where is Clinton Chiropractic Clinic Sc located?

Clinton Chiropractic Clinic Sc is located at 400 Ogden Ave, Clinton, WI 53525. The listed phone number is (608) 676-2210.

What is Clinton Chiropractic Clinic Sc's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Clinton Chiropractic Clinic Sc enrolled in Medicare?

Yes. Clinton Chiropractic Clinic Sc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Clinton Chiropractic Clinic Sc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Clinton Chiropractic Clinic Sc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Clinton Chiropractic Clinic Sc was last updated on November 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.