Individual provider Active NPI

Christopher Jude Meyer, D.C.

  • Chiropractor
  • Green Bay, WI
National Provider Identifier
1306866306
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3519-12 Issued in WI
Practice address
2733 Manitowoc Rd Ste 10
Green Bay, WI 54311-4901
Phone
(920) 465-1111
Fax
(920) 465-1072
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3519-012 WI
Chiropractor 111N00000X 3519-12 WI Primary

Addresses

Primary practice location

2733 Manitowoc Rd Ste 10
Green Bay, WI 54311-4901

Mailing address

2733 Manitowoc Rd
Ste 10
Green Bay, WI 54311-4901
Phone (920) 465-1111

Other practice location 1

2311 University Ave
Green Bay, WI 54302-4501
Phone (920) 465-1111

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040521000697 WI Practitioner - Chiropractic 8820089824 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1998
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2733 Manitowoc Rd
Suite 10
Bellevue, WI 54311-4901
Phone (920) 465-1111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3519WIMDClinical Psychologist
3519-012WIMDChiropractor
3519-12WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
CJ Meyer Chiropractic SC CurrentSince Nov 24, 2003 Accepting new patients

Locations

2311 University Ave
Green Bay, WI 54302
Phone (920) 406-3981

2733 Manitowoc Rd
Ste 10
Green Bay, WI 54311
Phone (920) 406-3981

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1306866306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2733 MANITOWOC RD",
            "address_2": "STE 10",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543114901",
            "telephone_number": "920-465-1111",
            "fax_number": "920-465-1072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2733 MANITOWOC RD STE 10",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543114901",
            "telephone_number": "920-465-1111",
            "fax_number": "920-465-1072"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2311 University Ave",
            "address_purpose": "LOCATION",
            "city": "Green Bay",
            "state": "WI",
            "postal_code": "543024501",
            "country_code": "US",
            "telephone_number": "920-465-1111",
            "fax_number": "920-465-1072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEYER",
        "first_name": "CHRISTOPHER",
        "middle_name": "JUDE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3519-012",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3519-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.