NORTHERN ROOTS FAMILY SPINAL CARE, LLC
NPI 1043866460
Chiropractor in Clear Lake, WI

Q: What is Northern Roots Family Spinal Care, LLC's specialty?

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

Active since August 12, 2019

470 3RD AVE, CLEAR LAKE, WI 54005(715) 303-7121 Get Directions Write a Review

NPPES record last updated: August 12, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Northern Roots Family Spinal Care, Llc NPPES

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

NORTHERN ROOTS FAMILY SPINAL CARE, LLC (NPI 1043866460) is a healthcare organization registered as a chiropractor in Clear Lake, Wisconsin and active in the NPI registry since August 2019. The organization lists Chase Brendan O'keefe, Chief Manager, as its authorized official.

NPPES Registry Identity

NPI1043866460

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameNORTHERN ROOTS FAMILY SPINAL CARE, LLC

Location Address470 3RD AVEClear Lake, WI 54005

Mailing Address2389 Us Highway 63Clear Lake, WI 54005-7702 · (715) 563-7447

Phone(715) 303-7121

Organization SubpartNo

Authorized OfficialChase Brendan O'keefeChief Manager · (715) 563-7447

Enumeration DateAugust 12, 2019

✔ NPI 1043866460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

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.

470 3RD AVE, Clear Lake, WI 54005

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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

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 Northern Roots Family Spinal Care, LLC's NPI number?

The NPI number for Northern Roots Family Spinal Care, LLC is 1043866460. It was assigned to this organization in the NPPES registry on August 12, 2019.

Where is Northern Roots Family Spinal Care, LLC located?

Northern Roots Family Spinal Care, LLC is located at 470 3rd Ave, Clear Lake, WI 54005. The listed phone number is (715) 303-7121.

What is Northern Roots Family Spinal Care, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Northern Roots Family Spinal Care, LLC was last updated on August 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.