Fond Du Lac Family Chiropractic LLC
NPI 1790278695 · Chiropractor · Fond Du Lac, WI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Fond Du Lac Family Chiropractic LLC is a Chiropractor organization in Fond Du Lac, WI (NPI 1790278695).
Provider details
- NPI number
- 1790278695
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Scott Suprenand, Owner(920) 872-2969
- License
- 4745 (WI)
Specialties & taxonomies
Chiropractic Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-06-14
- Last updated
- 2021-12-28
- Certified
- 2021-12-28
Frequently asked questions
- What is Fond Du Lac Family Chiropractic LLC's NPI number?
- Fond Du Lac Family Chiropractic LLC's National Provider Identifier (NPI) is 1790278695, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fond Du Lac Family Chiropractic LLC?
- Fond Du Lac Family Chiropractic LLC is classified in the NPPES registry as Chiropractor (Chiropractic Providers).
- Where is Fond Du Lac Family Chiropractic LLC located?
- Fond Du Lac Family Chiropractic LLC's practice location on file with NPPES is 103 S Pioneer Rd Ste 200, Fond Du Lac, WI 54935-3800.
- What is Fond Du Lac Family Chiropractic LLC's phone number?
- The practice phone number listed in the NPPES registry for Fond Du Lac Family Chiropractic LLC is (208) 722-9639.
- Does Fond Du Lac Family Chiropractic LLC accept Medicare?
- Fond Du Lac Family Chiropractic LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Fond Du Lac Family Chiropractic LLC?
- The authorized official listed on Fond Du Lac Family Chiropractic LLC's NPPES record is Scott Suprenand, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fond Du Lac Family Chiropractic LLC's NPI active?
- Yes — Fond Du Lac Family Chiropractic LLC's NPI (1790278695) is active in the NPPES registry as of the last update on 2021-12-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.