Otto Chiropractic Clinic, S.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

12-4315 Issued in WI

Legal business name

OTTO CHIROPRACTIC CLINIC, S.C.

Practice address

1039 W Mason St
Green Bay, WI 54303-1842

Phone

(920) 965-7757

Fax

(920) 739-3999

NPI assigned

Sep 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. Anthony James Otto, D.C.

Title

Owner/ President/Doctor

Phone

(920) 965-7757

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190246400000",
    "number": "1013103225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1039 W MASON ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543031842",
            "telephone_number": "920-965-7757",
            "fax_number": "920-739-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1039 W MASON ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543031842",
            "telephone_number": "920-965-7757",
            "fax_number": "920-739-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTTO CHIROPRACTIC CLINIC, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2007-09-20",
        "status": "A",
        "authorized_official_last_name": "OTTO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER/ PRESIDENT/DOCTOR",
        "authorized_official_telephone_number": "920-965-7757",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "12-4315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Don Osterberg, PT
• Marguerite Torsella Ostrand, APNP
• Sarah Elizabeth Ostwinkle, LCSW
• Alexandra B Osuchowski, M.D.
• Max E Ots, MD
• Anthony James Otto, DC
• Jory A Ough, M.D.
• Matthew J Ough, MD
• Our Created Lives LLC
• Leslie Carroll Ousley, MA, LPC

• Chiropractor in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; 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.