Organization Active NPI

Schimke Chiropractic SC

  • Chiropractor
  • North Prairie, WI
National Provider Identifier
1215109830
Registry record updated Mar 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SCHIMKE CHIROPRACTIC SC
Practice address
W309 S4860 Commercial Drive
Suite B
North Prairie, WI 53153
Phone
(262) 968-9891
Fax
(262) 968-9782
NPI assigned
Mar 25, 2008
Last updated
Mar 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2008

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

Authorized official

Name
Dr. Nicole Rene Schimke Jones, DCNPI 1366472094
Title
Owner
Phone
(262) 968-9891

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)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

W309 S4860 Commercial Drive
Suite B
North Prairie, WI 53153

Mailing address

W309 S4860 Commercial Drive
Suite B
North Prairie, WI 53153
Phone (262) 968-9891

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080620000662 WI Part B Supplier - Clinic/Group Practice 2567533300 Receives reassigned benefits from 1 practitioner
Practice locations: North Prairie, WI

National Provider Directory

National Provider Directory

Locations

W309S4860 Commercial Dr
North Prairie, WI 53153
Phone (262) 968-9891

W309S4860 Commercial Dr
#B
North Prairie, WI 53153
Phone (262) 968-9891

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206403200000",
    "number": "1215109830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W309 S4860 COMMERCIAL DRIVE",
            "address_2": "SUITE B",
            "city": "NORTH PRAIRIE",
            "state": "WI",
            "postal_code": "53153",
            "telephone_number": "262-968-9891",
            "fax_number": "262-968-9782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W309 S4860 COMMERCIAL DRIVE",
            "address_2": "SUITE B",
            "city": "NORTH PRAIRIE",
            "state": "WI",
            "postal_code": "53153",
            "telephone_number": "262-968-9891",
            "fax_number": "262-968-9782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHIMKE CHIROPRACTIC SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-25",
        "last_updated": "2008-03-25",
        "status": "A",
        "authorized_official_last_name": "SCHIMKE JONES",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "RENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-968-9891",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Prairie, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; 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.

Verify at the official NPI Registry.