Organization Active NPI

Serve Chiropractic, LLC

  • Chiropractor
  • Thiensville, WI
National Provider Identifier
1265188585
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SERVE CHIROPRACTIC, LLC
Practice address
216 Green Bay Rd Ste 106
Thiensville, WI 53092-1625
Phone
(262) 402-3761
NPI assigned
Feb 24, 2022
Last updated
Sep 28, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2022

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

Authorized official

Name
Dr. Jennifer Hohn, DCNPI 1497114490
Title
Owner
Phone
(262) 402-3761

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

216 Green Bay Rd Ste 106
Thiensville, WI 53092-1625

Mailing address

216 Green Bay Rd Ste 106
Thiensville, WI 53092-1625
Phone (262) 302-4241

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221130000056 WI Part B Supplier - Clinic/Group Practice 9638547342 Receives reassigned benefits from 1 practitioner
Practice locations: Thiensville, WI

National Provider Directory

National Provider Directory

Locations

216 Green Bay Rd
Ste 106
Thiensville, WI 53092
Phone (262) 302-4241

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": "1645660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664323200000",
    "number": "1265188585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 GREEN BAY RD STE 106",
            "city": "THIENSVILLE",
            "state": "WI",
            "postal_code": "530921625",
            "telephone_number": "262-302-4241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 GREEN BAY RD STE 106",
            "city": "THIENSVILLE",
            "state": "WI",
            "postal_code": "530921625",
            "telephone_number": "262-402-3761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVE CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-24",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A",
        "authorized_official_last_name": "HOHN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-402-3761",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thiensville, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; 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.