Advanced Chiropractic, S.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

3753-012 Issued in WI

Legal business name

ADVANCED CHIROPRACTIC, S.C.

Practice address

6905 Green Bay Rd
Suite 102
Kenosha, WI 53142-1458

Phone

(262) 697-5000

NPI assigned

Dec 28, 2006

Last updated

Aug 22, 2020By 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. Patricia E. Marsden, DC

Title

Office Manager

Phone

(232) 877-2196

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Patricia Eileen Marsden-Dull, D.C., CCSP

  • Sports Physician Chiropractor
  • Kenosha, WI
  • NPI 1447343587
  NPD (past)

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275699126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6905 GREEN BAY RD",
            "address_2": "SUITE 102",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531421458",
            "telephone_number": "262-697-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6905 GREEN BAY RD",
            "address_2": "SUITE 102",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531421458",
            "telephone_number": "262-697-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CHIROPRACTIC, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARSDEN",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "232-877-2196",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "WI",
            "license": "3753-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38931200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Claire Ann Adams, PHD
• Jennifer Banks Adams, LPC-IT
• Addiction Services and Pharmacotherapy, SC
• Dustin Ade, NASM CPT-7
• Advance Clinical Services (Advance Clinical Services LLC)
• Advanced Foot and Ankle Center of Kenosha S.C.
• Advantage Physical Therapy & Sports Rehab, LLC (CORA Physical Therapy - Kenosha North)
• Advantage Physical Therapy & Sports Rehab, LLC (CORA Physical Therapy - Kenosha South)
• Advantage PT & Sports Rehab LLC (CORA Physical Therapy - Kenosha Midtown)
• Advent DME LLC

• Sports Physician Chiropractor in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Sports Physician Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.