Individual provider Active NPI

Kari Lynn Charlevoix, DC

  • Chiropractor
  • Mequon, WI
National Provider Identifier
1306359336
Registry record updated Nov 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5316-12 Issued in WI
Practice address
6028 W Mequon Rd # 200
Mequon, WI 53092-1938
Phone
(262) 240-9946
Fax
(262) 240-9946
NPI assigned
Nov 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5316-12 WI Primary

Addresses

Primary practice location

6028 W Mequon Rd # 200
Mequon, WI 53092-1938

Mailing address

6028 W Mequon Rd # 200
Mequon, WI 53092-1938
Phone (262) 240-9946

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1510531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510531200000",
    "number": "1306359336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6028 W MEQUON RD # 200",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530921938",
            "telephone_number": "262-240-9946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6028 W MEQUON RD # 200",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530921938",
            "telephone_number": "262-240-9946",
            "fax_number": "262-240-9946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLEVOIX",
        "first_name": "KARI",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-13",
        "last_updated": "2017-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5316-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mequon, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2017; 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.