Drenzek Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4092-012 Issued in WI

Legal business name

DRENZEK CHIROPRACTIC, LLC

Practice address

2211 10TH Avenue
Suite B
South Milwaukee, WI 53172-2502

Phone

(414) 766-9390

Fax

(414) 766-9392

NPI assigned

Aug 29, 2012

Last updated

Aug 29, 2012By 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. Kristin Michelle Grenier-Drenzek, D.C.

Title

Owner/Doctor of Chiropractic

Phone

(414) 241-2183

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346198400000",
    "number": "1265781819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 10TH AVENUE",
            "address_2": "SUITE B",
            "city": "SOUTH MILWAUKEE",
            "state": "WI",
            "postal_code": "531722502",
            "telephone_number": "414-766-9390",
            "fax_number": "414-766-9392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 10TH AVENUE",
            "address_2": "SUITE B",
            "city": "SOUTH MILWAUKEE",
            "state": "WI",
            "postal_code": "531722502",
            "telephone_number": "414-766-9390",
            "fax_number": "414-766-9392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRENZEK CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-29",
        "last_updated": "2012-08-29",
        "status": "A",
        "authorized_official_last_name": "GRENIER-DRENZEK",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER/DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "414-241-2183",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4092-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; 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.