Crossroads Chiropractic Johnson Creek LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4573-012 Issued in WI

Legal business name

CROSSROADS CHIROPRACTIC JOHNSON CREEK LLC

Practice address

545 Village Walk LN
Suite C
Johnson Creek, WI 53038

Phone

(920) 728-4070

NPI assigned

Feb 14, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Kimberly D Turner, DC

Title

Owner

Phone

(920) 728-4070

Specialties & licenses 1

Addresses

Other names 1

• Crossroads Chiropractic Doing business as

Locations

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

{
    "created_epoch": "1297641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297641600000",
    "number": "1326345166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 117",
            "city": "JOHNSON CREEK",
            "state": "WI",
            "postal_code": "530380117",
            "telephone_number": "920-728-4070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 VILLAGE WALK LN",
            "address_2": "SUITE C",
            "city": "JOHNSON CREEK",
            "state": "WI",
            "postal_code": "53038",
            "telephone_number": "920-728-4070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS CHIROPRACTIC JOHNSON CREEK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-14",
        "last_updated": "2011-02-14",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-728-4070",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4573-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crossroads Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Johnson Creek, WI
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2011; 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.