Individual provider Active NPI

James C Neuber, D.C.

  • Chiropractor
  • Fond Du Lac, WI
National Provider Identifier
1104927854
Registry record updated Nov 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2797-012 Issued in WI
Practice address
355 N Peters Ave
Fond Du Lac, WI 54935-8258
Phone
(920) 923-3322
Fax
(920) 923-3940
NPI assigned
Sep 26, 2006
Last updated
Nov 17, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2797-012 WI Primary

Addresses

Primary practice location

355 N Peters Ave
Fond Du Lac, WI 54935-8258

Mailing address

355 N Peters Ave
Fond Du Lac, WI 54935-8258
Phone (920) 923-3322

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2797-012WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Foot and Wound Care Center LLC CurrentSince Nov 1, 2015 Accepting new patients
Alberto C Clar MD SC Past Accepting new patients
Vincent E Seiler Dba Mukwonago Family Chiropractic Chiropractor Past Accepting new patients

Locations

355 N Peters Ave
Ste 3
Fond du Lac, WI 54935
Phone (920) 539-5400

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447718400000",
    "number": "1104927854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 N PETERS AVE",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549358258",
            "telephone_number": "920-923-3322",
            "fax_number": "920-923-3940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 N PETERS AVE",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549358258",
            "telephone_number": "920-923-3322",
            "fax_number": "920-923-3940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEUBER",
        "first_name": "JAMES",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2015-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2797-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fond Du Lac, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2015; 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.