Wisconsin Family and Sports Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5018-12 Issued in WI

Legal business name

WISCONSIN FAMILY AND SPORTS CHIROPRACTIC, LLC

Practice address

10224 N Port Washington Rd
Suite F
Mequon, WI 53092-5754

Phone

(262) 236-9489

NPI assigned

Jun 18, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Mackenzie Wood, DCNPI 1639581697

Title

Owner/Doctor

Phone

(262) 236-9489

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mackenzie Rae Wood, DC

  • Chiropractor
  • Mequon, WI
  • NPI 1639581697
  Medicare reassignment Care Compare group NPD Authorized official
• Nicholas Burgei, D.C.

  • Chiropractor
  • Mequon, WI
  • NPI 1720490782
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1403049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451433600000",
    "number": "1326452293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10224 N PORT WASHINGTON RD",
            "address_2": "SUITE F",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530925754",
            "telephone_number": "262-236-9489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10224 N PORT WASHINGTON RD",
            "address_2": "SUITE F",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530925754",
            "telephone_number": "262-236-9489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISCONSIN FAMILY AND SPORTS CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-18",
        "last_updated": "2015-12-30",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "MACKENZIE",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "262-236-9489",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5018-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Mary Winkel
• Wisconsin Cardiology Associates, SC
• Wisconsin Community Mental Health Counseling Centers Inc
• Wisconsin Community Mental Health Counseling Centers, Inc
• Wisconsin Dental Group, S.C.
• Wisconsin Interventional Pain Physicians, SC
• Wisconsin Michigan Physicians, SC
• Wisconsin Phlebology Medical Group SC
• Wisconsin Psychiatric Services, LTD
• Wisconsin Radiology Specialists, S C

• Chiropractor in Mequon, WI
• Providers in Mequon, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.