Organization Active NPI

Chiropractic Family LLC

  • Chiropractor
  • Ashwaubenon, WI
National Provider Identifier
1306524178
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CHIROPRACTIC FAMILY LLC
Practice address
677 Baeten Rd Ste 2
Ashwaubenon, WI 54304-4868
Phone
(920) 737-0895
NPI assigned
Jul 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Authorized official

Name
Dr. Emily Eve Radka, DC
Title
Owner
Phone
(920) 530-9449

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

677 Baeten Rd Ste 2
Ashwaubenon, WI 54304-4868

Mailing address

677 Baeten Rd Ste 2
Ashwaubenon, WI 54304-4868
Phone (920) 737-0895

National Provider Directory

National Provider Directory

Locations

677 Baeten Rd
Ste 2
Ashwaubenon, WI 54304
Phone (920) 737-0895

Practitioners & affiliated clinicians

Practitioners 1

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": "1688947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688947200000",
    "number": "1306524178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "677 BAETEN RD STE 2",
            "city": "ASHWAUBENON",
            "state": "WI",
            "postal_code": "543044868",
            "telephone_number": "920-737-0895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 BAETEN RD STE 2",
            "city": "ASHWAUBENON",
            "state": "WI",
            "postal_code": "543044868",
            "telephone_number": "920-737-0895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC FAMILY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A",
        "authorized_official_last_name": "RADKA",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "EVE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-530-9449",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashwaubenon, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; 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.