Joseph A Nelson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3486 Issued in WI

Practice address

2615 Packerland Dr
Ste G
Green Bay, WI 54313-5780

Phone

(920) 496-8808

Fax

(920) 496-8808

NPI assigned

Oct 6, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Packerland Chiropractic Inc

  dba Packerland Chiropratic Inc

  • Chiropractor
  • Green Bay, WI
  • NPI 1447459706
  Medicare reassignment NPD Authorized official
• Packerland Chiropractic of Door County Inc

  • Chiropractor
  • Sturgeon Bay, WI
  • NPI 1013117811
  NPD (past) Authorized official

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326135708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 PACKERLAND DR",
            "address_2": "STE G",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543135780",
            "telephone_number": "920-496-8808",
            "fax_number": "920-496-8808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 PACKERLAND DR",
            "address_2": "STE G",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543135780",
            "telephone_number": "920-496-8808",
            "fax_number": "920-496-8808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "JOSEPH",
        "middle_name": "A",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38906400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christie Nelson, PH.D.
• Deanna R Nelson, RD
• Erin Naomi Nelson
• Janny Nelson, NP
• Jeremy Louis Nelson I, PTA
• Kayley Nelson, DC
• Laura M Nelson, MD
• Lindsay M Nelson, DPT
• Matthew Anson Nelson, DDS
• Megan Nelson, M.S., CCC-SLP

• Chiropractor in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.