Organization Active NPI

Falkowski Chiropractic Clinic LLC

  • Chiropractor
  • West Bend, WI
National Provider Identifier
1285833582
Registry record updated Sep 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4054-012 Issued in WI
Legal business name
FALKOWSKI CHIROPRACTIC CLINIC LLC
Practice address
223 W Paradise Dr
West Bend, WI 53095-4903
Phone
(262) 338-0300
NPI assigned
Jul 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2012

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

Authorized official

Name
Dr. Patrick FalkowskiNPI 1528173796
Title
Owner/Doctor
Phone
(262) 338-0300

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4054-012 WI Primary

Addresses

Primary practice location

223 W Paradise Dr
West Bend, WI 53095-4903

Mailing address

223 W Paradise Dr
West Bend, WI 53095-4903

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050208000842 WI Part B Supplier - Clinic/Group Practice 7012968993 Receives reassigned benefits from 1 practitioner
Practice locations: West Bend, WI

National Provider Directory

National Provider Directory

Locations

1134 E Paradise Dr
West Bend, WI 53095
Phone (262) 338-0300

223 W Paradise Dr
West Bend, WI 53095
Phone (262) 334-1011

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347321600000",
    "number": "1285833582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 W PARADISE DR",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530954903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 W PARADISE DR",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530954903",
            "telephone_number": "262-338-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FALKOWSKI CHIROPRACTIC CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-16",
        "last_updated": "2012-09-11",
        "status": "A",
        "authorized_official_last_name": "FALKOWSKI",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "262-338-0300",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4054-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bend, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; 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.