Organization Active NPI

Landgraf Chiropractic, LLC

  • Nutrition Chiropractor
  • Brookfield, WI
National Provider Identifier
1265612642
Registry record updated Jul 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
2306-12 Issued in WI
Legal business name
LANDGRAF CHIROPRACTIC, LLC
Practice address
21140 W Capitol Dr
Suite 1
Brookfield, WI 53072-2907
Phone
(262) 790-1100
Fax
(262) 790-1102
NPI assigned
Nov 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2014

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

Authorized official

Name
Dr. Patricia Hope Landgraf, D.C.
Title
Chiropractor
Phone
(262) 790-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NN1001X 2306-12 WI Primary

Addresses

Primary practice location

21140 W Capitol Dr
Suite 1
Brookfield, WI 53072-2907

Mailing address

N71W23440 Homestead Rd
Sussex, WI 53089-3279
Phone (262) 790-1100

National Provider Directory

National Provider Directory

Locations

21140 Capitol Dr
Ste 1
Brookfield, WI 53072
Phone (262) 790-1100

NPI Registry JSON

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406592000000",
    "number": "1265612642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N71W23440 HOMESTEAD RD",
            "city": "SUSSEX",
            "state": "WI",
            "postal_code": "530893279",
            "telephone_number": "262-790-1100",
            "fax_number": "262-790-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21140 W CAPITOL DR",
            "address_2": "SUITE 1",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530722907",
            "telephone_number": "262-790-1100",
            "fax_number": "262-790-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDGRAF CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2014-07-29",
        "status": "A",
        "authorized_official_last_name": "LANDGRAF",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "HOPE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "262-790-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "WI",
            "license": "2306-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2014; 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.