Organization Active NPI

Wall Family Chiropractic LLC

Doing business as Healthrite Family Chiropractic

  • Chiropractor
  • Wauwatosa, WI
National Provider Identifier
1093978611
Registry record updated Jul 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4199-012 Issued in WI
Legal business name
WALL FAMILY CHIROPRACTIC LLC
Doing business as
Healthrite Family Chiropractic
Practice address
8812 W North Ave
Wauwatosa, WI 53226-2726
Phone
(414) 774-2300
Fax
(414) 774-0341
NPI assigned
Jul 3, 2008
Last updated
Jul 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2008

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

Authorized official

Name
Dr. Traci Wall, D.C.
Title
Member
Phone
(414) 774-2300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4199-012 WI Primary

Addresses

Primary practice location

8812 W North Ave
Wauwatosa, WI 53226-2726

Mailing address

8812 W North Ave
Wauwatosa, WI 53226-2726
Phone (414) 774-2300

Other names 1

  • Healthrite Family Chiropractic Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1093978611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8812 W NORTH AVE",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532262726",
            "telephone_number": "414-774-2300",
            "fax_number": "414-774-0341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8812 W NORTH AVE",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532262726",
            "telephone_number": "414-774-2300",
            "fax_number": "414-774-0341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALL FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-03",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "WALL",
        "authorized_official_first_name": "TRACI",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "414-774-2300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4199-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthrite Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wauwatosa, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.