Tri County Chiropractic SC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

TRI COUNTY CHIROPRACTIC SC

Practice address

702 Eisenhower Drive Suite G
Kimberly, WI 54136

Phone

(920) 730-1155

Fax

(920) 730-1148

NPI assigned

Aug 30, 2006

Last updated

Sep 9, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Wanda J Roebke, DC

Title

Owner Chriopractor

Phone

(920) 730-1155

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 3

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.

• Jared Scott Bedor, D.C.

  • Chiropractor
  • New London, WI
  • NPI 1962940635
  Medicare reassignment Care Compare group NPD
• Nathanael Lee Williams, D.C.

  • Chiropractor
  • Greenwood Village, CO
  • NPI 1982989208

  WI

  Medicare reassignment Care Compare group NPD
• Kenneth E Munson, DC

  • Chiropractor
  • Appleton, WI
  • NPI 1093808537
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283990400000",
    "number": "1225148133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 EISENHOWER DRIVE SUITE G",
            "city": "KIMBERLY",
            "state": "WI",
            "postal_code": "54136",
            "telephone_number": "920-730-1155",
            "fax_number": "920-730-1148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 EISENHOWER DRIVE SUITE G",
            "city": "KIMBERLY",
            "state": "WI",
            "postal_code": "54136",
            "telephone_number": "920-730-1155",
            "fax_number": "920-730-1148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI COUNTY CHIROPRACTIC SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2010-09-09",
        "status": "A",
        "authorized_official_last_name": "ROEBKE",
        "authorized_official_first_name": "WANDA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER CHRIOPRACTOR",
        "authorized_official_telephone_number": "920-730-1155",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38995300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Ward Stradel, OD
• Skye Summers
• Madeline Taylor
• Stephanie Brianna Ticks
• Ashley Ann Torreano, O.D.
• United Seating and Mobility LLC (Numotion)
• Taylor Marie Van Dera, M.A, BCBA
• Kathleen Van Roy
• Marina L Verwiel, LPC
• Chasity Rose Walter, LCSW

• Chiropractor in Kimberly, WI
• Providers in Kimberly, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2010; 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.