NPIMap

Organization Active NPI

Waukesha Family Chiropractic, LLC

  • Chiropractor
  • Waukesha, WI
National Provider Identifier
1225425226
Registry record updated May 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4581-012 Issued in WI
Legal business name
WAUKESHA FAMILY CHIROPRACTIC, LLC
Practice address
411 N Grand Ave
Waukesha, WI 53186-4961
Phone
(262) 501-2995
Fax
(262) 521-1005
NPI assigned
Apr 17, 2015
Last updated
May 27, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2015

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

Authorized official

Name
Dr. Katie Sam, D.C.NPI 1366681108
Title
Chiropractor/Owner
Phone
(262) 501-2995

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
Chiropractor 111N00000X 4581-012 WI Primary

Addresses

Primary practice location

411 N Grand Ave
Waukesha, WI 53186-4961

Mailing address

411 N Grand Ave
Waukesha, WI 53186-4961
Phone (262) 501-2995

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": "1429228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432684800000",
    "number": "1225425226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 N GRAND AVE",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531864961",
            "telephone_number": "262-501-2995",
            "fax_number": "262-521-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 N GRAND AVE",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531864961",
            "telephone_number": "262-501-2995",
            "fax_number": "262-521-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAUKESHA FAMILY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-17",
        "last_updated": "2015-05-27",
        "status": "A",
        "authorized_official_last_name": "SAM",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "262-501-2995",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4581-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukesha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2015; 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.