Active NPI
Johnson Chiropractic Clinic LLC
- Chiropractor
- Portage, WI
National Provider Identifier
1164940581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4844
- Legal business name
- JOHNSON CHIROPRACTIC CLINIC LLC
- Practice address
- 1512 New Pinery Rd
Portage, WI 53901-1312 - Phone
- (608) 742-5578
- Fax
- (608) 742-7028
- NPI assigned
- Sep 6, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sydney M Schmus, DC
- Title
- Chiropractor
- Phone
- (608) 742-5578
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4844 | WI | Primary |
Addresses
Primary practice location
1512 New Pinery Rd
Portage, WI 53901-1312
Mailing address
1512 New Pinery Rd
Portage, WI 53901-1312
Phone (608) 472-5578
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180102002007 | WI | Part B Supplier - Clinic/Group Practice | 1456619055 |
Receives reassigned benefits from 2 practitioners Practice locations: Portage, WI |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Middleton, WI
- NPI 1477824738
-
- Chiropractor
- Portage, WI
- NPI 1518017417
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504656000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736726400000",
"number": "1164940581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1512 NEW PINERY RD",
"city": "PORTAGE",
"state": "WI",
"postal_code": "539011312",
"telephone_number": "608-472-5578",
"fax_number": "608-742-7028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1512 NEW PINERY RD",
"city": "PORTAGE",
"state": "WI",
"postal_code": "539011312",
"telephone_number": "608-742-5578",
"fax_number": "608-742-7028"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHNSON CHIROPRACTIC CLINIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-09-06",
"last_updated": "2025-01-13",
"certification_date": "2025-01-13",
"status": "A",
"authorized_official_last_name": "SCHMUS",
"authorized_official_first_name": "SYDNEY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "608-742-5578",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "WI",
"license": "4844",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portage, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; 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.