Newporte Courte Family Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4127-012 Issued in WI

Legal business name

NEWPORTE COURTE FAMILY CHIROPRACTIC, LLC

Practice address

10532 N Port Washington Rd
Mequon, WI 53092-5563

Phone

(262) 240-1600

Fax

(262) 240-1602

NPI assigned

Jan 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mariah Ann Goecke, D.C.NPI 1609983956

Title

Owner, Vice President

Phone

(262) 240-1600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 2

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

• Mariah Ann Goecke, D.C.

  • Chiropractor
  • Mequon, WI
  • NPI 1609983956
  Medicare reassignment Care Compare group NPD Authorized official
• Michael Brandon Zack

  • Chiropractor
  • Mequon, WI
  • NPI 1760599013
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1169856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023164332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10532 N PORT WASHINGTON RD",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530925563",
            "telephone_number": "262-240-1600",
            "fax_number": "262-240-1602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10532 N PORT WASHINGTON RD",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530925563",
            "telephone_number": "262-240-1600",
            "fax_number": "262-240-1602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWPORTE COURTE FAMILY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOECKE",
        "authorized_official_first_name": "MARIAH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER, VICE PRESIDENT",
        "authorized_official_telephone_number": "262-240-1600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4127-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Mequon, WI
• Providers in Mequon, 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.
• 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.