Active NPI
Darboy Family Chiropractic SC
- Chiropractor
- Appleton, WI
National Provider Identifier
1295910305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2991-012
- Legal business name
- DARBOY FAMILY CHIROPRACTIC SC
- Practice address
- W5669 County Rd KK
Suite D
Appleton, WI 54915-9468 - Phone
- (920) 731-8002
- Fax
- (920) 731-8006
- NPI assigned
- Jan 8, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Ivy Rachelle Blue
- Title
- Office Manager
- Phone
- (920) 731-8002
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2991-012 | WI | Primary |
Addresses
Primary practice location
W5669 County Rd KK
Suite D
Appleton, WI 54915-9468
Mailing address
W5669 County Rd KK
Suite D
Appleton, WI 54915-9468
Phone (920) 731-8002
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120409000396 | WI | Part B Supplier - Clinic/Group Practice | 6800057449 | Practice locations: Appleton, WI |
National Provider Directory
National Provider DirectoryLocations
W5669 County Road KK
Ste D
Appleton, WI 54915
Phone (920) 731-8002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199750400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1333584000000",
"number": "1295910305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W5669 COUNTY RD KK",
"address_2": "SUITE D",
"city": "APPLETON",
"state": "WI",
"postal_code": "549159468",
"telephone_number": "920-731-8002",
"fax_number": "920-731-8006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "W5669 COUNTY RD KK",
"address_2": "SUITE D",
"city": "APPLETON",
"state": "WI",
"postal_code": "549159468",
"telephone_number": "920-731-8002",
"fax_number": "920-731-8006"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DARBOY FAMILY CHIROPRACTIC SC",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-08",
"last_updated": "2012-04-05",
"status": "A",
"authorized_official_last_name": "BLUE",
"authorized_official_first_name": "IVY",
"authorized_official_middle_name": "RACHELLE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "920-731-8002",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "WI",
"license": "2991-012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Appleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.