Organization Active NPI

Janusz Chiropractic Clinic, SC

  • Chiropractor
  • Milwaukee, WI
National Provider Identifier
1174569297
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2411012 Issued in WI
Legal business name
JANUSZ CHIROPRACTIC CLINIC, SC
Practice address
3113 S 13TH St
Milwaukee, WI 53215-4609
Phone
(414) 643-6000
Fax
(414) 643-1352
NPI assigned
Jun 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Raymond M Janusz, D.C.
Title
President
Phone
(414) 643-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2411012 WI Primary

Addresses

Primary practice location

3113 S 13TH St
Milwaukee, WI 53215-4609

Mailing address

PO Box 670
Brookfield, WI 53008-0670
Phone (414) 643-6000

National Provider Directory

National Provider Directory

Locations

2727 W Cleveland Ave
#100
Milwaukee, WI 53215
Phone (414) 643-6000

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174569297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 670",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530080670",
            "telephone_number": "414-643-6000",
            "fax_number": "414-643-1352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3113 S 13TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532154609",
            "telephone_number": "414-643-6000",
            "fax_number": "414-643-1352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANUSZ CHIROPRACTIC CLINIC, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JANUSZ",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-643-6000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2411012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.