Organization Active NPI

Breitbach Dragosh Chiropractic Clinic, S.C.

  • Chiropractor
  • Kaukauna, WI
National Provider Identifier
1134211311
Registry record updated Aug 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BREITBACH DRAGOSH CHIROPRACTIC CLINIC, S.C.
Practice address
141 W Wisconsin Ave Ste 3
Kaukauna, WI 54130-2123
Phone
(920) 766-3741
Fax
(920) 759-5050
NPI assigned
Sep 28, 2006
Last updated
Aug 23, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2019

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

Authorized official

Name
Ann Newhouse
Title
Office Manager
Phone
(920) 766-3741

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

141 W Wisconsin Ave Ste 3
Kaukauna, WI 54130-2123

Mailing address

141 W Wisconsin Ave Ste 3
Kaukauna, WI 54130-2123
Phone (920) 766-3741

National Provider Directory

National Provider Directory

Locations

141 W Wisconsin Ave
Ste 3
Kaukauna, WI 54130
Phone (920) 766-3741

500 Lawe St
Kaukauna, WI 54130
Phone (920) 759-5015

701 Moasis Dr
Little Chute, WI 54140
Phone (920) 788-3303

Practitioners & affiliated clinicians

Practitioners 4

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": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566518400000",
    "number": "1134211311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 W WISCONSIN AVE STE 3",
            "city": "KAUKAUNA",
            "state": "WI",
            "postal_code": "541302123",
            "telephone_number": "920-766-3741",
            "fax_number": "920-759-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 W WISCONSIN AVE STE 3",
            "city": "KAUKAUNA",
            "state": "WI",
            "postal_code": "541302123",
            "telephone_number": "920-766-3741",
            "fax_number": "920-759-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREITBACH DRAGOSH CHIROPRACTIC CLINIC, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2019-08-23",
        "status": "A",
        "authorized_official_last_name": "NEWHOUSE",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "920-766-3741"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaukauna, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.