Oconomowoc Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4325-012 Issued in WI

Legal business name

OCONOMOWOC CHIROPRACTIC

Practice address

880 Summit Ave
Oconomowoc, WI 53066-3975

Phone

(262) 567-4999

Fax

(262) 567-4699

NPI assigned

Feb 4, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Jeff Daniel Rutkowski, D.C.

Title

Owner

Phone

(262) 567-4999

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jeffrey Daniel Rutkowski, D.C.

  • Chiropractor
  • Oconomowoc, WI
  • NPI 1295824639
  NPD

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

{
    "created_epoch": "1233705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730851200000",
    "number": "1003054693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 SUMMIT AVE",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530663975",
            "telephone_number": "262-567-4999",
            "fax_number": "262-567-4699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 SUMMIT AVE",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530663975",
            "telephone_number": "262-567-4999",
            "fax_number": "262-567-4699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCONOMOWOC CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-04",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A",
        "authorized_official_last_name": "RUTKOWSKI",
        "authorized_official_first_name": "JEFF",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-567-4999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4325-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cresta Elizabeth Nutter, C.T.R.S.
• Ashley O'Connor
• Patrick O'Malley, D.O.
• Oaac, S.C.
• Oconomowoc Area School District
• Oconomowoc Community Services LLC
• Oconomowoc Dental Anesthesia Center
• Oconomowoc Development Training Center LL
• Oconomowoc Developmental Training Center of Wisconsin LLC
• Oconomowoc Developmental Training Center of Wisconsin LLC

• All providers in Oconomowoc, WI
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; 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.