NPIMap

Organization Active NPI

The Center for Comprehensive Chiropractic Care

  • Chiropractor
  • Oconto Falls, WI
National Provider Identifier
1114335536
Registry record updated Feb 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4951-12 Issued in WI
Legal business name
THE CENTER FOR COMPREHENSIVE CHIROPRACTIC CARE
Practice address
420 N Chestnut Ave
Suite B
Oconto Falls, WI 54154-1109
Phone
(920) 848-2392
NPI assigned
Jul 29, 2014
Last updated
Feb 28, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2019

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

Authorized official

Name
Dr. Joshua Dietze, D.C.
Title
Chiropractor/Owner
Phone
(920) 848-2392

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4951-12 WI Primary

Addresses

Primary practice location

420 N Chestnut Ave
Suite B
Oconto Falls, WI 54154-1109

Mailing address

420 N Chestnut Ave
Suite B
Oconto Falls, WI 54154-1109
Phone (920) 848-2392

National Provider Directory

National Provider Directory

Locations

420 N Chestnut Ave
#B
Oconto Falls, WI 54154
Phone (920) 848-2392

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1406592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551312000000",
    "number": "1114335536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 N CHESTNUT AVE",
            "address_2": "SUITE B",
            "city": "OCONTO FALLS",
            "state": "WI",
            "postal_code": "541541109",
            "telephone_number": "920-848-2392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 N CHESTNUT AVE",
            "address_2": "SUITE B",
            "city": "OCONTO FALLS",
            "state": "WI",
            "postal_code": "541541109",
            "telephone_number": "920-848-2392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTER FOR COMPREHENSIVE CHIROPRACTIC CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-29",
        "last_updated": "2019-02-28",
        "status": "A",
        "authorized_official_last_name": "DIETZE",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "920-848-2392",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4951-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oconto Falls, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; 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.