Organization Active NPI

Fenske Chiropractic Clinic S.C.

  • Chiropractor
  • Thiensville, WI
National Provider Identifier
1104027069
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2554-012 Issued in WI
Legal business name
FENSKE CHIROPRACTIC CLINIC S.C.
Practice address
227 S Main St
Thiensville, WI 53092-1904
Phone
(262) 242-7383
NPI assigned
May 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Maria P Fenske, D.C.
Title
Chiropractor
Phone
(262) 242-7383

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2554-012 WI Primary

Addresses

Primary practice location

227 S Main St
Thiensville, WI 53092-1904

Mailing address

227 S Main St
Thiensville, WI 53092-1904
Phone (262) 242-7383

National Provider Directory

National Provider Directory

Locations

227 S Main St
Thiensville, WI 53092
Phone (262) 242-7383

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104027069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 S MAIN ST",
            "city": "THIENSVILLE",
            "state": "WI",
            "postal_code": "530921904",
            "telephone_number": "262-242-7383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 S MAIN ST",
            "city": "THIENSVILLE",
            "state": "WI",
            "postal_code": "530921904",
            "telephone_number": "262-242-7383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FENSKE CHIROPRACTIC CLINIC S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FENSKE",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "262-242-7383",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2554-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thiensville, WI

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.