Individual provider Active NPI

Akishi Oshita

  • Chiropractor
  • Green Bay, WI
National Provider Identifier
1134420854
Registry record updated Nov 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4646-012 Issued in WI
Practice address
2331 Velp Ave
Ste C/D
Green Bay, WI 54303
Phone
(920) 321-0468
NPI assigned
Nov 11, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4646-012 WI Primary

Addresses

Primary practice location

2331 Velp Ave
Ste C/D
Green Bay, WI 54303

Mailing address

1667 Lenwood Ave
#2
Green Bay, WI 54303
Phone (132) 315-7764

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
4646-012WIMDChiropractor
4646WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Chiropractic SC Chiropractor PastSince Aug 30, 2010 Accepting new patients
Cornerstone Community Chiropractic Inc Chiropractor PastSince Jul 29, 2020 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1289433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289433600000",
    "number": "1134420854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1667 LENWOOD AVE",
            "address_2": "#2",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "54303",
            "telephone_number": "132-315-7764",
            "fax_number": "920-321-0470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2331 VELP AVE",
            "address_2": "STE C/D",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "54303",
            "telephone_number": "920-321-0468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSHITA",
        "first_name": "AKISHI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-11",
        "last_updated": "2010-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4646-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2010; 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.