NPIMap

Organization Active NPI

Cream City Chiropractic

  • Health Service Clinic/Center
  • Milwaukee, WI
National Provider Identifier
1215356753
Registry record updated Apr 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
4583-012 Issued in WI
Legal business name
CREAM CITY CHIROPRACTIC
Practice address
435 E Lincoln Ave
Milwaukee, WI 53207-1756
Phone
(414) 489-7911
NPI assigned
Apr 14, 2014
Last updated
Apr 14, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2014

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

Authorized official

Name
Dr. Jon Duris, DCNPI 1316269574
Title
Co-Owner
Phone
(414) 489-7911

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 4583-012 WI Primary

Addresses

Primary practice location

435 E Lincoln Ave
Milwaukee, WI 53207-1756

Mailing address

435 E Lincoln Ave
Milwaukee, WI 53207-1756
Phone (414) 489-7911

National Provider Directory

National Provider Directory

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": "1397433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397433600000",
    "number": "1215356753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 E LINCOLN AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532071756",
            "telephone_number": "414-489-7911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 E LINCOLN AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532071756",
            "telephone_number": "414-489-7911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREAM CITY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-14",
        "last_updated": "2014-04-14",
        "status": "A",
        "authorized_official_last_name": "DURIS",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "414-489-7911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "WI",
            "license": "4583-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.