Organization Active NPI

The Chiropractors, LLC

  • Chiropractor
  • Pewaukee, WI
National Provider Identifier
1073694477
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4172-012 Issued in WI
Legal business name
THE CHIROPRACTORS, LLC
Practice address
690 Westfield Way Ste F
Pewaukee, WI 53072-2585
Phone
(262) 691-0997
Fax
(262) 875-3593
NPI assigned
Oct 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2020

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

Authorized official

Name
Dr. Christopher Paul Rebholz, D.C.NPI 1861425928
Title
Owner
Phone
(262) 691-0997

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 4172-012 WI Primary

Addresses

Primary practice location

690 Westfield Way Ste F
Pewaukee, WI 53072-2585

Mailing address

690 Westfield Way Ste F
Pewaukee, WI 53072-2585
Phone (262) 691-0997

Other practice location 1

W238N1690 Rockwood Dr Ste 200
Waukesha, WI 53188-1151
Phone (262) 691-0997

Other identifiers 1

IdentifierTypeStateIssuer
38970200MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070719000212 WI Part B Supplier - Clinic/Group Practice 1951402049 Receives reassigned benefits from 1 practitioner
Practice locations: Pewaukee, WI

National Provider Directory

National Provider Directory

Locations

150 S Sunny Slope Rd
Ste 148
Brookfield, WI 53005
Phone (262) 395-4023

690 Westfield Way
Ste F
Pewaukee, WI 53072
Phone (262) 219-5290

W238N1690 Rockwood Dr
Ste 200
Waukesha, WI 53188
Phone (262) 691-0997

Practitioners & affiliated clinicians

Practitioners 2

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": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601251200000",
    "number": "1073694477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 WESTFIELD WAY STE F",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530722585",
            "telephone_number": "262-691-0997",
            "fax_number": "262-875-3593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 WESTFIELD WAY STE F",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530722585",
            "telephone_number": "262-691-0997",
            "fax_number": "262-875-3593"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "W238N1690 Rockwood Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Waukesha",
            "state": "WI",
            "postal_code": "531881151",
            "country_code": "US",
            "telephone_number": "262-691-0997",
            "fax_number": "262-875-3593",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE CHIROPRACTORS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A",
        "authorized_official_last_name": "REBHOLZ",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-691-0997",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4172-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38970200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pewaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.