Active NPI
Haanen Zilisch Smith Chiropractic Clinic LLC
- Chiropractor
- Kaukauna, WI
National Provider Identifier
1003032178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- HAANEN ZILISCH SMITH CHIROPRACTIC CLINIC LLC
- Practice address
- 1801 Crooks Ave
Kaukauna, WI 54130-3245 - Phone
- (920) 766-9411
- Fax
- (920) 766-9412
- NPI assigned
- Apr 17, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Todd Lawrence Smith, D.C.
- Title
- Doctor
- Phone
- (920) 766-9411
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | WI | Primary |
Addresses
Primary practice location
1801 Crooks Ave
Kaukauna, WI 54130-3245
Mailing address
1801 Crooks Ave
Kaukauna, WI 54130-3245
Phone (920) 766-9411
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1801 Crooks Ave
Kaukauna, WI 54130
Phone (920) 766-9411
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Kaukauna, WI
- NPI 1639230741
-
- Chiropractor
- Kaukauna, WI
- NPI 1699836718
-
- Chiropractor
- Manitowoc, WI
- NPI 1275767451
-
- Chiropractor
- Shawano, WI
- NPI 1790852176
-
- Chiropractor
- North Charleston, SC
- NPI 1942518402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1276732800000",
"number": "1003032178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 CROOKS AVE",
"city": "KAUKAUNA",
"state": "WI",
"postal_code": "541303245",
"telephone_number": "920-766-9411",
"fax_number": "920-766-9412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 CROOKS AVE",
"city": "KAUKAUNA",
"state": "WI",
"postal_code": "541303245",
"telephone_number": "920-766-9411",
"fax_number": "920-766-9412"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAANEN ZILISCH SMITH CHIROPRACTIC CLINIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-17",
"last_updated": "2010-06-17",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "TODD",
"authorized_official_middle_name": "LAWRENCE",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "920-766-9411",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "WI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kaukauna, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.