Active NPI
Van Drisse Chiropractic Center LLC
- Chiropractor
- De Pere, WI
National Provider Identifier
1194913434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3145-012
- Legal business name
- VAN DRISSE CHIROPRACTIC CENTER LLC
- Practice address
- 502 George St
De Pere, WI 54115-2772 - Phone
- (920) 337-0103
- Fax
- (920) 338-9066
- NPI assigned
- Oct 11, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David M Van Drisse, D.C.
- Title
- Owner
- Phone
- (920) 337-0103
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3145-012 | WI | Primary |
Addresses
Primary practice location
502 George St
De Pere, WI 54115-2772
Mailing address
502 George St
De Pere, WI 54115-2772
Phone (920) 337-0103
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38921100 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
502 George St
De Pere, WI 54115
Phone (920) 337-0103
502 George St
#A
De Pere, WI 54115
Phone (920) 337-0103
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- De Pere, WI
- NPI 1386743797
-
- Chiropractor
- De Pere, WI
- NPI 1528337466
-
- Chiropractor
- De Pere, WI
- NPI 1699483750
-
- Chiropractor
- Marinette, WI
- NPI 1013360155
-
- Massage Therapist
- De Pere, WI
- NPI 1295433910
-
- Chiropractor
- Egg Harbor, WI
- NPI 1427228808
-
- Chiropractor
- Manitowoc, WI
- NPI 1912054842
-
- Chiropractor
- Green Bay, WI
- NPI 1053665364
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192060800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756944000000",
"number": "1194913434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "502 GEORGE ST",
"city": "DE PERE",
"state": "WI",
"postal_code": "541152772",
"telephone_number": "920-337-0103",
"fax_number": "920-338-9066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 GEORGE ST",
"city": "DE PERE",
"state": "WI",
"postal_code": "541152772",
"telephone_number": "920-337-0103",
"fax_number": "920-338-9066"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VAN DRISSE CHIROPRACTIC CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-11",
"last_updated": "2025-09-04",
"certification_date": "2025-09-04",
"status": "A",
"authorized_official_last_name": "VAN DRISSE",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "920-337-0103",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "WI",
"license": "3145-012",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38921100",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in De Pere, WI
- Unity Supportive Care Management, LLC
- Urology Associates of Green Bay Surgery Center, LLC
- Urology Associates of Green Bay, S.C.
- Kenneth G Utech, MSW
- Abhilash R Vaishnav, MD
- Alec David Van Drisse, DC
- David Mark Van Drisse, D.C.
- Ashley R Van Dyn Hoven, COTA
- Stacey Lyn Van Grinsven, MS, CFY-SLP
- Chelsea Van Hefty, R.N.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.