Organization Active NPI

Chiropractic Complete SC

  • Chiropractor
  • Muskego, WI
National Provider Identifier
1033388400
Registry record updated May 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4052012 Issued in WI
Legal business name
CHIROPRACTIC COMPLETE SC
Practice address
S74W16845 Janesville Rd
Muskego, WI 53150-8618
Phone
(414) 422-1010
Fax
(414) 422-1040
NPI assigned
Feb 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2013

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

Authorized official

Name
Dr. Christopher Daniel Culligan, D.C.NPI 1821153131
Title
Clinic Director
Phone
(414) 422-1010

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 4052012 WI Primary

Addresses

Primary practice location

S74W16845 Janesville Rd
Muskego, WI 53150-8618

Mailing address

S74W16845 Janesville Rd
Muskego, WI 53150-8618
Phone (414) 422-1010

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060509000121 WI Part B Supplier - Clinic/Group Practice 8628089455 Receives reassigned benefits from 1 practitioner
Practice locations: Muskego, WI

National Provider Directory

National Provider Directory

Locations

S74W16845 Janesville Rd
Muskego, WI 53150
Phone (414) 422-1010

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1204243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369180800000",
    "number": "1033388400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "S74W16845 JANESVILLE RD",
            "city": "MUSKEGO",
            "state": "WI",
            "postal_code": "531508618",
            "telephone_number": "414-422-1010",
            "fax_number": "414-422-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "S74W16845 JANESVILLE RD",
            "city": "MUSKEGO",
            "state": "WI",
            "postal_code": "531508618",
            "telephone_number": "414-422-1010",
            "fax_number": "414-422-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC COMPLETE SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-29",
        "last_updated": "2013-05-22",
        "status": "A",
        "authorized_official_last_name": "CULLIGAN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "414-422-1010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4052012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskego, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2013; 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.