Plymouth Chiropractic, SC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2629-012 Issued in WI

Legal business name

PLYMOUTH CHIROPRACTIC, SC

Practice address

126 E Mill St
Plymouth, WI 53073-1704

Phone

(920) 892-8920

Fax

(920) 892-8920

NPI assigned

Mar 13, 2007

Last updated

May 12, 2011By 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

Dr. Jan Cecka, D.C.NPI 1235237603

Title

Doctor

Phone

(920) 892-8920

Specialties & licenses 1

Addresses

Other identifiers 2

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.

• Jan W Cecka, D.C

  • Chiropractor
  • Plymouth, WI
  • NPI 1235237603
  Authorized official Same address or phone
• Jordan Teunissen, D.C.

  • Chiropractor
  • Sheboygan, WI
  • NPI 1265984611
  NPD
• Andrew D Woodas, D.C.

  • Chiropractor
  • Milwaukee, WI
  • NPI 1740388115
  NPD (past)

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305158400000",
    "number": "1245363043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 E MILL ST",
            "city": "PLYMOUTH",
            "state": "WI",
            "postal_code": "530731704",
            "telephone_number": "920-892-8920",
            "fax_number": "920-892-8920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 E MILL ST",
            "city": "PLYMOUTH",
            "state": "WI",
            "postal_code": "530731704",
            "telephone_number": "920-892-8920",
            "fax_number": "920-892-8920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLYMOUTH CHIROPRACTIC, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2011-05-12",
        "status": "A",
        "authorized_official_last_name": "CECKA",
        "authorized_official_first_name": "JAN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "920-892-8920",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2629-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NPI",
            "identifier": "1235237603",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124536",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher J Parker, PHARM D
• Sandra J Perronne, OT
• Scott R Peschke, MD
• Plymouth Ambulance Service, Inc (Plymouth Ambulance Service)
• Plymouth Care Center LLC (D/B/a Atrium Post Acute Care of Plymouth)
• Plymouth Family Physicians, S.C.
• Plymouth Joint School District
• Ashlyn Prisinger, PT
• Dawn H.S. Reinemann, PHD
• Jennifer Ann-Gabrys Rench, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2011; 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.