Tri Corner Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2339 Issued in WI

Legal business name

TRI CORNER CHIROPRACTIC LLC

Practice address

1307 W Packard Street
Appleton, WI 54914-3428

Phone

(920) 739-4229

NPI assigned

Jan 2, 2007

Organization subpart

No

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

Authorized official

Name

Christopher E Matt, DCNPI 1548370265

Title

Chiropractor

Phone

(920) 739-4229

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christopher E Matt, DC

  • Chiropractor
  • Appleton, WI
  • NPI 1548370265
  Medicare reassignment NPD Authorized official
• Roger Oscar Gundlach, D.C,

  • Chiropractor
  • Ripon, WI
  • NPI 1003964248
  Medicare reassignment NPD

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1164589271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 W PACKARD STREET",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549143428",
            "telephone_number": "920-739-4229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 W PACKARD STREET",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549143428",
            "telephone_number": "920-739-4229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI CORNER CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "MATT",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "920-739-4229",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38837600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Travel Health Partners Wi SC
• Luke J Tremble, MD
• Andrew Emilio Tremillo, NP
• Julia Rose Tremillo, PA-C
• Alexander Spencer Tretinyak, MD
• Tri-County Community Dental Clinic, Inc.
• Suzanne Gayle Triezenberg, RN
• Roberta Trucco, PROFESSIONAL COUNSEL
• Elizabeth Jean Trudell, PTA
• Kim Merle Trudell, LCSW, SAC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.