Active NPI
Edward Anthony Cox IV, D.C.
- Chiropractor
- Green Bay, WI
National Provider Identifier
1205226594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5068-12
- Practice address
- 1441 Bellevue St
Green Bay, WI 54311-5605 - Phone
- (920) 468-1963
- NPI assigned
- Jan 26, 2015
- Last updated
- Jan 26, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5068-12 | WI | Primary |
Addresses
Primary practice location
1441 Bellevue St
Green Bay, WI 54311-5605
Mailing address
429 Monroe St
Oconto, WI 54153-1451
Phone (262) 325-8067
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5068-12 | WI | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422230400000",
"number": "1205226594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "429 MONROE ST",
"city": "OCONTO",
"state": "WI",
"postal_code": "541531451",
"telephone_number": "262-325-8067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1441 BELLEVUE ST",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543115605",
"telephone_number": "920-468-1963"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COX",
"first_name": "EDWARD",
"middle_name": "ANTHONY",
"name_suffix": "IV",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-01-26",
"last_updated": "2015-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "5068-12",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Green Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.