Kewaunee Chiropractic Works LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3480 Issued in WI

Legal business name

KEWAUNEE CHIROPRACTIC WORKS LLC

Practice address

224 Ellis St
Kewaunee, WI 54216-1006

Phone

(920) 388-0285

Fax

(920) 388-0291

NPI assigned

Jun 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Reyne J Peters, DCNPI 1801938444

Title

Chiropractor

Phone

(920) 388-0285

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 3

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

• Reyne Jean Peters, DC

  • Chiropractor
  • Kewaunee, WI
  • NPI 1801938444
  Medicare reassignment Authorized official
• Samantha J Dawalt, DC

  • Chiropractor
  • Luxemburg, WI
  • NPI 1891331104
  NPD
• Rebecca M Kasten, LMT

  • Massage Therapist
  • Kewaunee, WI
  • NPI 1114436284
  NPD (past)

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722470400000",
    "number": "1063618502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 ELLIS ST",
            "city": "KEWAUNEE",
            "state": "WI",
            "postal_code": "542161006",
            "telephone_number": "920-388-0285",
            "fax_number": "920-388-0291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 ELLIS ST",
            "city": "KEWAUNEE",
            "state": "WI",
            "postal_code": "542161006",
            "telephone_number": "920-388-0285",
            "fax_number": "920-388-0291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEWAUNEE CHIROPRACTIC WORKS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "REYNE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "920-388-0285",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca M Kasten, LMT
• Tricia Lynn Keister, R.N.
• Kenneth J & Marilyn M Secor
• Kenneth J & Marilyn M Secor
• Kewaunee Care Center LLC
• Kewaunee Hometown Pharmacy LLC
• Kewaunee School District
• Kelly J Kovnesky, LPC-IT
• Jacob Kumpfer, LMFT-IT
• Lakeshore Vision Centers LTD

• Chiropractor in Kewaunee, WI
• Providers in Kewaunee, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.