NPIMap

Organization Active NPI

DG Brothers, Inc.

  • Clinic/Center
  • Kaukauna, WI
National Provider Identifier
1255662789
Registry record updated Apr 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
DG BROTHERS, INC.
Doing business as
NovaCare Clinic
Practice address
120 E 2ND St
Kaukauna, WI 54130-2402
Phone
(920) 737-6475
Fax
(920) 766-8088
NPI assigned
Jan 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2010

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

Authorized official

Name
Lisa Guo
Title
President
Phone
(920) 766-8080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

120 E 2ND St
Kaukauna, WI 54130-2402

Mailing address

P.O. 0177
De Pere, WI 54130-0177
Phone (920) 766-8080

Other names 1

  • NovaCare Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

2401 Holmgren Way
Green Bay, WI 54304
Phone (920) 497-0003

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1264118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271635200000",
    "number": "1255662789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. 0177",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541300177",
            "telephone_number": "920-766-8080",
            "fax_number": "920-766-8088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E 2ND ST",
            "city": "KAUKAUNA",
            "state": "WI",
            "postal_code": "541302402",
            "telephone_number": "920-737-6475",
            "fax_number": "920-766-8088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DG BROTHERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-22",
        "last_updated": "2010-04-19",
        "status": "A",
        "authorized_official_last_name": "GUO",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-766-8080"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NovaCare Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kaukauna, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2010; 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.