Greenquist Chiropractic, S.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3682-012 Issued in WI

Legal business name

GREENQUIST CHIROPRACTIC, S.C.

Practice address

110 Thompson Parkway, #4
St. Croix Falls, WI 54024

Phone

(715) 483-1256

NPI assigned

Feb 14, 2007

Organization subpart

No

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

Authorized official

Name

Tory GreenquistNPI 1679616270

Title

Pres.

Phone

(715) 483-1256

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Practitioners 1

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

• Tory L Greenquist, D.C.

  • Chiropractor
  • Saint Croix Falls, WI
  • NPI 1679616270
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093858631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 THOMPSON PARKWAY, #4",
            "city": "ST. CROIX FALLS",
            "state": "WI",
            "postal_code": "54024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 THOMPSON PARKWAY, #4",
            "city": "ST. CROIX FALLS",
            "state": "WI",
            "postal_code": "54024",
            "telephone_number": "715-483-1256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENQUIST CHIROPRACTIC, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GREENQUIST",
        "authorized_official_first_name": "TORY",
        "authorized_official_title_or_position": "PRES.",
        "authorized_official_telephone_number": "715-483-1256"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3682-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS OF MN",
            "identifier": "194R3GR",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Judy Ann Foster, LPC, LCSW
• Austin Franzen
• Lisa Christina Gehrman, PHARMD
• Kal Gerber, DC
• Geoffrey H. Gorres, MD
• Tory L Greenquist, D.C.
• Ethan Halainen, MSW
• Jeffrey M Hall, M.D.
• Melissa L Hall, M.D.
• Carl W Hansen, M.D.

• Chiropractor in Saint Croix Falls, WI
• Providers in Saint Croix Falls, 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.
• 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.