Family Chiropractic of Plymouth, Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

FAMILY CHIROPRACTIC OF PLYMOUTH, INC

Practice address

W 5134 Hwy Cty O
Plymouth, WI 53073

Phone

(920) 980-3547

Fax

(866) 248-9019

NPI assigned

May 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Andrew Dean Woodas, DC

Title

Owner

Phone

(920) 980-3547

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043422967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W 5134 HWY CTY O",
            "city": "PLYMOUTH",
            "state": "WI",
            "postal_code": "53073",
            "telephone_number": "920-980-3547",
            "fax_number": "866-248-9019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W 5134 HWY CTY O",
            "city": "PLYMOUTH",
            "state": "WI",
            "postal_code": "53073",
            "telephone_number": "920-980-3547",
            "fax_number": "866-248-9019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CHIROPRACTIC OF PLYMOUTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOODAS",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-980-3547",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38904900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon Diamond, DPT
• Tracy Dumke, OTR
• Anthony Ellie, LPC, NBCC, MA
• Natalie Englebert
• Leah Fabis, APNP
• Nicole Catherine Fechter, DPT
• Focus Physical Therapy LLC
• Francis Chiropractic Clinic SC
• Daniel Joseph Francis, DC
• Elizabeth Francis

• Chiropractor in Plymouth, WI
• Providers in Plymouth, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.