Organization Active NPI

Downtown Chiropractic Health & Sports Injury Clinic

  • Chiropractor
  • Milwaukee, WI
National Provider Identifier
1215936141
Registry record updated Dec 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2533012 Issued in WI
Legal business name
DOWNTOWN CHIROPRACTIC HEALTH & SPORTS INJURY CLINIC
Practice address
600 E Mason St
Ste 100
Milwaukee, WI 53202-3870
Phone
(414) 272-7250
Fax
(414) 272-7107
NPI assigned
Jul 21, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2020

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

Authorized official

Name
Dr. Richard Lang III, D.C.NPI 1184904393
Title
Chiropractor
Phone
(414) 272-7250

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: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2533012 WI Primary

Addresses

Primary practice location

600 E Mason St
Ste 100
Milwaukee, WI 53202-3870

Mailing address

732 N Jackson St Ste 150
Milwaukee, WI 53202-4605
Phone (414) 272-7250

Other identifiers 1

IdentifierTypeStateIssuer
38850000MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201118000016 WI Part B Supplier - Clinic/Group Practice 4587075817 Receives reassigned benefits from 2 practitioners
Practice locations: Milwaukee, WI

National Provider Directory

National Provider Directory

Locations

732 N Jackson St
Ste 150
Milwaukee, WI 53202
Phone (414) 272-7250

Practitioners & affiliated clinicians

Practitioners 4

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": "1121904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607040000000",
    "number": "1215936141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "732 N JACKSON ST STE 150",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532024605",
            "telephone_number": "414-272-7250",
            "fax_number": "414-272-7107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E MASON ST",
            "address_2": "STE 100",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532023870",
            "telephone_number": "414-272-7250",
            "fax_number": "414-272-7107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWNTOWN CHIROPRACTIC HEALTH & SPORTS INJURY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-21",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A",
        "authorized_official_last_name": "LANG",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "414-272-7250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2533012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38850000",
            "state": "WI"
        }
    ],
    "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 Dec 4, 2020; 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.