Individual provider Active NPI

Emma Roche, DC

  • Chiropractor
  • Oconomowoc, WI
National Provider Identifier
1174476824
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6372-12 Issued in WI
Practice address
1300 N Summit Ave Ste 201
Oconomowoc, WI 53066-4467
Phone
(262) 244-5004
NPI assigned
Feb 20, 2026
Last updated
Feb 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6372-12 WI Primary

Addresses

Primary practice location

1300 N Summit Ave Ste 201
Oconomowoc, WI 53066-4467

Mailing address

1300 N Summit Ave Ste 201
Oconomowoc, WI 53066-4467
Phone (262) 244-5004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260312000489 WI Practitioner - Chiropractic 6800379421 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chiropractic Company - Oconomowoc LTDGroup PAC ID 0042504532, 4 clinicians

Practice addresses (Care Compare)

1300 N Summit Ave
Suite 201
Oconomowoc, WI 53066-4467
Phone (262) 244-5004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6372-12WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Company - Oconomowoc LTD Chiropractor CurrentSince Mar 1, 2026 Accepting new patients

Locations

1300 N Summit Ave
Ste 201
Summit, WI 53066
Phone (262) 244-5004

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1771545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1174476824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N SUMMIT AVE STE 201",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530664467",
            "telephone_number": "262-244-5004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N SUMMIT AVE STE 201",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530664467",
            "telephone_number": "262-244-5004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCHE",
        "first_name": "EMMA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-20",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "6372-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oconomowoc, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.