Organization Active NPI

Apple Medical Clinic SC

  • Multi-Specialty Clinic/Center
  • Appleton, WI
National Provider Identifier
1174714653
Registry record updated May 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
APPLE MEDICAL CLINIC SC
Practice address
2000 S Memorial Dr Ste 201
Appleton, WI 54915-1237
Phone
(920) 739-6971
NPI assigned
Aug 8, 2007
Last updated
May 9, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2022

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

Authorized official

Name
Dr. Michael Lee Johnson, D.C.NPI 1891902888
Title
President
Phone
(920) 739-6971

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU Primary
Neurology Chiropractor 111NN0400X NU
Family Medicine Physician 207Q00000X NU

Addresses

Primary practice location

2000 S Memorial Dr Ste 201
Appleton, WI 54915-1237

Mailing address

2000 S Memorial Dr Ste 201
Appleton, WI 54915-1237
Phone (920) 739-6971

National Provider Directory

National Provider Directory

Locations

1713 S Oneida St
Appleton, WI 54915

2000 S Memorial Dr
Ste 201
Appleton, WI 54915
Phone (920) 739-6971

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652054400000",
    "number": "1174714653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 S MEMORIAL DR STE 201",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549151237",
            "telephone_number": "920-739-6971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 S MEMORIAL DR STE 201",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549151237",
            "telephone_number": "920-739-6971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLE MEDICAL CLINIC SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-08",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-739-6971",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; 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.