Bayshore Chiropractic, S.C.
Organization Active NPI Chiropractor · Oconto, WI
NPI 1184950396 · NPPES record last updated Oct 15, 2025
Key facts
- NPI
- 1184950396
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- BAYSHORE CHIROPRACTIC, S.C.
- Practice address
- 1134 Main St
Oconto, WI 54153-1540 - Phone
- (920) 834-7034
- Fax
- (920) 834-2844
- NPI assigned
- Oct 22, 2009
- Organization subpart
- No
Authorized official
- Name
- Julie Dey
- Title
- Office Manager
- Phone
- (920) 834-7034
Practitioners 1
-
Nathan W Jackson, DC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20091029000171 | WI | Part B Supplier - Clinic/Group Practice | 4789721473 |
Receives reassigned benefits from 1 practitioner Practice locations: Oconto, WI |
National Provider Directory
Locations
1134 Main St
Oconto, WI 54153
Phone (920) 834-7034
1008 Pecor St
Unit B
Oconto, WI 54153
Phone (920) 834-7034
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes |
Addresses
Primary practice location
1134 Main St
Oconto, WI 54153-1540
Mailing address
PO Box 131
Oconto, WI 54153-0131
Phone (920) 834-7034
Other providers in Oconto, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.