Organization Active NPI

Riverview Chiropractic, S.C.

  • Chiropractor
  • Watertown, WI
National Provider Identifier
1295972099
Registry record updated Jan 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3989-012 Issued in WI
Legal business name
RIVERVIEW CHIROPRACTIC, S.C.
Practice address
1434 E Main St
Watertown, WI 53094-4035
Phone
(920) 261-5607
Fax
(920) 261-1318
NPI assigned
Jan 15, 2009
Last updated
Jan 15, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2009

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

Authorized official

Name
Dr. Joel Kirchberg, D.C.NPI 1235181975
Title
Chiropractor
Phone
(920) 261-5607

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 3989-012 WI Primary

Addresses

Primary practice location

1434 E Main St
Watertown, WI 53094-4035

Mailing address

1434 E Main St
Watertown, WI 53094-4035
Phone (920) 261-5607

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090122000576 WI Part B Supplier - Clinic/Group Practice 9436213246 Receives reassigned benefits from 1 practitioner
Practice locations: Watertown, WI

National Provider Directory

National Provider Directory

Locations

1434 E Main St
Watertown, WI 53094
Phone (920) 261-5607

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1231977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231977600000",
    "number": "1295972099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1434 E MAIN ST",
            "city": "WATERTOWN",
            "state": "WI",
            "postal_code": "530944035",
            "telephone_number": "920-261-5607",
            "fax_number": "920-261-1318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1434 E MAIN ST",
            "city": "WATERTOWN",
            "state": "WI",
            "postal_code": "530944035",
            "telephone_number": "920-261-5607",
            "fax_number": "920-261-1318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERVIEW CHIROPRACTIC, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-15",
        "last_updated": "2009-01-15",
        "status": "A",
        "authorized_official_last_name": "KIRCHBERG",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "920-261-5607",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3989-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2009; 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.