Organization Active NPI

GPS Family Chiropractic LLC

  • Chiropractor
  • Salem, WI
National Provider Identifier
1003595091
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
GPS FAMILY CHIROPRACTIC LLC
Practice address
7353 256TH Ave
Salem, WI 53168-8828
Phone
(262) 586-5186
Fax
(262) 586-5182
NPI assigned
Jul 17, 2023
Last updated
Aug 22, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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

Authorized official

Name
Punita Sood Kukreja, DCNPI 1740579192
Title
Owner
Phone
(262) 498-6479

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

7353 256TH Ave
Salem, WI 53168-8828

Mailing address

7320 97TH Ave
Kenosha, WI 53142-8210
Phone (262) 498-6479

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230824000224 WI Part B Supplier - Clinic/Group Practice 7618330648 Receives reassigned benefits from 1 practitioner
Practice locations: Salem, WI

National Provider Directory

National Provider Directory

Locations

7137 236th Ave
Ste 202
Salem, WI 53168
Phone (262) 586-5186

7353 256th Ave
Salem, WI 53168
Phone (262) 586-5186

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692662400000",
    "number": "1003595091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7320 97TH AVE",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531428210",
            "telephone_number": "262-498-6479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7353 256TH AVE",
            "city": "SALEM",
            "state": "WI",
            "postal_code": "531688828",
            "telephone_number": "262-586-5186",
            "fax_number": "262-586-5182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GPS FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A",
        "authorized_official_last_name": "KUKREJA",
        "authorized_official_first_name": "PUNITA",
        "authorized_official_middle_name": "SOOD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-498-6479",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; 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.

Verify at the official NPI Registry.