Organization Active NPI

Kaiser Chiropractic, S.C.

  • Chiropractor
  • Lake Geneva, WI
National Provider Identifier
1083736813
Registry record updated Mar 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3050-012 Issued in WI
Legal business name
KAISER CHIROPRACTIC, S.C.
Practice address
790 Gardner St
Lake Geneva, WI 53147-1233
Phone
(262) 248-4001
Fax
(262) 248-4069
NPI assigned
Apr 4, 2007
Last updated
Mar 1, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2011

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

Authorized official

Name
Dr. Christopher Kaiser, D.C.NPI 1699845271
Title
Owner
Phone
(262) 248-4001

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 3050-012 WI Primary

Addresses

Primary practice location

790 Gardner St
Lake Geneva, WI 53147-1233

Mailing address

790 Gardner St
Lake Geneva, WI 53147-1233
Phone (262) 248-4001

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130612000011 WI Part B Supplier - Clinic/Group Practice 5294974820 Receives reassigned benefits from 1 practitioner
Practice locations: Lake Geneva, WI

National Provider Directory

National Provider Directory

Locations

790 Gardner St
Lake Geneva, WI 53147
Phone (262) 215-2292

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298937600000",
    "number": "1083736813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 GARDNER ST",
            "city": "LAKE GENEVA",
            "state": "WI",
            "postal_code": "531471233",
            "telephone_number": "262-248-4001",
            "fax_number": "262-248-4069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 GARDNER ST",
            "city": "LAKE GENEVA",
            "state": "WI",
            "postal_code": "531471233",
            "telephone_number": "262-248-4001",
            "fax_number": "262-248-4069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAISER CHIROPRACTIC, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2011-03-01",
        "status": "A",
        "authorized_official_last_name": "KAISER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-248-4001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3050-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Geneva, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2011; 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.