Yorgan Chiropractic Office, SC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2002 Issued in WI

Legal business name

YORGAN CHIROPRACTIC OFFICE, SC

Practice address

5401 Douglas Ave
Racine, WI 53402-2034

Phone

(262) 884-0484

NPI assigned

Jun 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth John Yorgan, D.C.NPI 1194883256

Title

Owner

Phone

(262) 884-0484

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Kenneth John Yorgan, D.C.

  • Chiropractor
  • Racine, WI
  • NPI 1194883256
  NPD (past) Authorized official

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003011875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 DOUGLAS AVE",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534022034",
            "telephone_number": "262-884-0484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 DOUGLAS AVE",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534022034",
            "telephone_number": "262-884-0484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YORGAN CHIROPRACTIC OFFICE, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YORGAN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-884-0484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38792200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chris Mark Worth, D.D.S.
• Stacey Wright
• Susanne L Wroblewski, CADCIII
• Vashir Jim Xiong, LAC
• Anitha Yohannan
• Kenneth John Yorgan, D.C.
• Young Mens Christian Association
• Gladys Marie Yuenkel, PTA
• David C Zablotney, MD
• Amanda Zalokar, LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.