T.J. Kalies

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2668 Issued in WI

Legal business name

T.J. KALIES

Doing business as

Kalies Chiropractic

Practice address

114 N Main Street
Brillion, WI 54110

Phone

(920) 756-3344

Fax

(920) 756-3344

NPI assigned

Jan 18, 2007

Last updated

Jul 21, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jeffery S Wierichs, DC

Title

Chiropractor

Phone

(920) 756-3344

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kalies Chiropractic Doing business as

Locations

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216598400000",
    "number": "1104978055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 N MAIN STREET",
            "city": "BRILLION",
            "state": "WI",
            "postal_code": "54110",
            "telephone_number": "920-756-3344",
            "fax_number": "920-756-3344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 N MAIN STREET",
            "city": "BRILLION",
            "state": "WI",
            "postal_code": "54110",
            "telephone_number": "920-756-3344",
            "fax_number": "920-756-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T.J. KALIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2008-07-21",
        "status": "A",
        "authorized_official_last_name": "WIERICHS",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "920-756-3344",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "388628200007",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kalies Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Brillion, WI
• Providers in Brillion, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.