Active NPI
Dirker Chiropractic LLC
- Chiropractor
- Sheboygan, WI
National Provider Identifier
1215002399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3361
- Legal business name
- DIRKER CHIROPRACTIC LLC
- Practice address
- 707 S Taylor Dr
Sheboygan, WI 53081-4278 - Phone
- (920) 451-7000
- Fax
- (920) 451-7100
- NPI assigned
- Nov 22, 2006
- Last updated
- Mar 12, 2025
- 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
- Mr. Joe A Dirker, D.C.
- Title
- Owner
- Phone
- (920) 451-7000
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 | 3361 | WI | Primary |
Addresses
Primary practice location
707 S Taylor Dr
Sheboygan, WI 53081-4278
Mailing address
707 S Taylor Dr
Sheboygan, WI 53081-4278
Phone (920) 451-7000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38730000 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
707 S Taylor Dr
Sheboygan, WI 53081
Phone (920) 451-7000
Practitioners & affiliated clinicians
Practitioners 7
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.
-
- Chiropractor
- Sheboygan, WI
- NPI 1356340418
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- NPI 1063186104
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- NPI 1467768861
-
- Chiropractor
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- NPI 1679990972
-
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- Sheboygan, WI
- NPI 1104013119
-
- Chiropractor
- Sheboygan, WI
- NPI 1821050030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741737600000",
"number": "1215002399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "707 S TAYLOR DR",
"city": "SHEBOYGAN",
"state": "WI",
"postal_code": "530814278",
"telephone_number": "920-451-7000",
"fax_number": "920-451-7100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 S TAYLOR DR",
"city": "SHEBOYGAN",
"state": "WI",
"postal_code": "530814278",
"telephone_number": "920-451-7000",
"fax_number": "920-451-7100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIRKER CHIROPRACTIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-22",
"last_updated": "2025-03-12",
"certification_date": "2025-03-12",
"status": "A",
"authorized_official_last_name": "DIRKER",
"authorized_official_first_name": "JOE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "920-451-7000",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "3361",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38730000",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sheboygan, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.