Organization Active NPI

Nelson Chiropractic Wellness Center Inc.

  • Chiropractor
  • Kenosha, WI
National Provider Identifier
1194136747
Registry record updated May 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
501712 Issued in WI
Legal business name
NELSON CHIROPRACTIC WELLNESS CENTER INC.
Practice address
6500 67TH St
Kenosha, WI 53142-1403
Phone
(815) 322-6046
NPI assigned
May 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2014

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

Authorized official

Name
Dr. Pascale Nelson, D.C.
Title
Owner
Phone
(815) 322-6046

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 501712 WI Primary

Addresses

Primary practice location

6500 67TH St
Kenosha, WI 53142-1403

Mailing address

525 Autumn Blvd Apt 303
Lakemoor, IL 60051-6690
Phone (815) 322-6046

National Provider Directory

National Provider Directory

Locations

6500 67th St
Kenosha, WI 53142
Phone (262) 654-3141

NPI Registry JSON

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

{
    "created_epoch": "1400198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400198400000",
    "number": "1194136747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 AUTUMN BLVD APT 303",
            "city": "LAKEMOOR",
            "state": "IL",
            "postal_code": "600516690",
            "telephone_number": "815-322-6046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 67TH ST",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531421403",
            "telephone_number": "815-322-6046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELSON CHIROPRACTIC WELLNESS CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-16",
        "last_updated": "2014-05-16",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "PASCALE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-322-6046",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "501712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenosha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2014; 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.