Organization Active NPI

Goetzke Chiropractic Inc.

  • Chiropractor
  • New Richmond, WI
National Provider Identifier
1174654024
Registry record updated Aug 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3847-012 Issued in WI
Legal business name
GOETZKE CHIROPRACTIC INC.
Practice address
1656 Dorset LN
Ste 400
New Richmond, WI 54017-2449
Phone
(715) 246-5600
Fax
(715) 246-5806
NPI assigned
Mar 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2013

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

Authorized official

Name
Dr. Leo Raymond Gonsowski III, D.C.
Title
Owner
Phone
(715) 246-5600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3847-012 WI Primary

Addresses

Primary practice location

1656 Dorset LN
Ste 400
New Richmond, WI 54017-2449

Mailing address

1656 Dorset LN
Ste 400
New Richmond, WI 54017-2449
Phone (715) 246-5600

Other names 1

  • Arch Chiropracitc Center Doing business as

National Provider Directory

National Provider Directory

Locations

471 S Arch Ave
New Richmond, WI 54017
Phone (715) 246-3809

1656 Dorset Ln
Ste 400
New Richmond, WI 54017
Phone (715) 246-4624

227 Meridian Dr
Ste 4
New Richmond, WI 54017
Phone (612) 963-2248

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": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376352000000",
    "number": "1174654024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1656 DORSET LN",
            "address_2": "STE 400",
            "city": "NEW RICHMOND",
            "state": "WI",
            "postal_code": "540172449",
            "telephone_number": "715-246-5600",
            "fax_number": "715-246-5806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1656 DORSET LN",
            "address_2": "STE 400",
            "city": "NEW RICHMOND",
            "state": "WI",
            "postal_code": "540172449",
            "telephone_number": "715-246-5600",
            "fax_number": "715-246-5806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOETZKE CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2013-08-13",
        "status": "A",
        "authorized_official_last_name": "GONSOWSKI",
        "authorized_official_first_name": "LEO",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-246-5600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3847-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arch Chiropracitc Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Richmond, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2013; 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.