Active NPI
Roby Christian Dorn, D.C.
- Chiropractor
- Oconomowoc, WI
National Provider Identifier
1083756167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4053-012
- Practice address
- W359N5002 Brown St Ste 220a
Oconomowoc, WI 53066-3366 - Phone
- (262) 203-9036
- Fax
- (262) 203-9774
- NPI assigned
- Feb 13, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4053-012 | WI | Primary |
Addresses
Primary practice location
W359N5002 Brown St Ste 220a
Oconomowoc, WI 53066-3366
Mailing address
W359N5002 Brown St Ste 220a
Oconomowoc, WI 53066-3366
Phone (262) 203-9036
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38958700 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
W359N5002 Brown St
Suite 220a
Oconomowoc, WI 53066-3366
Phone (262) 203-9036
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4053-012 | WI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dorn Family Chiropractic LLC | Chiropractor | Current | Accepting new patients |
Locations
1280 Brown St
Ste K2
Oconomowoc, WI 53066
Phone (262) 203-9036
W359N5002 Brown St
Ste 220A
Oconomowoc, WI 53066
Phone (262) 203-9036
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Oconomowoc, WI
- NPI 1922293711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767657600000",
"number": "1083756167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W359N5002 BROWN ST STE 220A",
"city": "OCONOMOWOC",
"state": "WI",
"postal_code": "530663366",
"telephone_number": "262-203-9036",
"fax_number": "262-203-9774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "W359N5002 BROWN ST STE 220A",
"city": "OCONOMOWOC",
"state": "WI",
"postal_code": "530663366",
"telephone_number": "262-203-9036",
"fax_number": "262-203-9774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORN",
"first_name": "ROBY",
"middle_name": "CHRISTIAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-13",
"last_updated": "2026-01-06",
"certification_date": "2026-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "4053-012",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38958700",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oconomowoc, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.