Individual provider Active NPI

Alexander L Kirchner, DC

  • Chiropractor
  • Green Bay, WI
National Provider Identifier
1255928099
Registry record updated Dec 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5597-12 Issued in WI
Practice address
2696 Noel Dr
Green Bay, WI 54311-6729
Phone
(920) 465-9020
NPI assigned
Dec 28, 2020
Last updated
Dec 28, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5597-12 WI Primary

Addresses

Primary practice location

2696 Noel Dr
Green Bay, WI 54311-6729

Mailing address

2696 Noel Dr
Green Bay, WI 54311-6729
Phone (920) 465-9020

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210308001246 WI Practitioner - Chiropractic 9537575097 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Schneider Chiropratic Office SC Chiropractor CurrentSince Jan 4, 2021 Accepting new patients
Advantage Chiropractic Clinic of Green Bay, S.C. Chiropractor PastSince Jan 1, 2001 Accepting new patients
Abundant Health Chiropractic, LLC Chiropractor Past Accepting new patients

Locations

2696 Noel Dr
Green Bay, WI 54311
Phone (920) 465-9020

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1609113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609113600000",
    "number": "1255928099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2696 NOEL DR",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543116729",
            "telephone_number": "920-465-9020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2696 NOEL DR",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543116729",
            "telephone_number": "920-465-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRCHNER",
        "first_name": "ALEXANDER",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-28",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5597-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.