Organization Active NPI

Pyramid Chiropractic Clinic, S.C.

  • Chiropractor
  • Milwaukee, WI
National Provider Identifier
1336267269
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301 Issued in WI
Legal business name
PYRAMID CHIROPRACTIC CLINIC, S.C.
Practice address
5542 W Fond Du Lac Ave
Milwaukee, WI 53216-1200
Phone
(414) 461-2222
Fax
(414) 461-8289
NPI assigned
Mar 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Adebayo Yusuf, D.C.
Title
President
Phone
(414) 461-2222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301 WI Primary

Addresses

Primary practice location

5542 W Fond Du Lac Ave
Milwaukee, WI 53216-1200

Mailing address

5542 W Fond Du Lac Ave
Milwaukee, WI 53216-1200
Phone (414) 461-2222

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336267269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5542 W FOND DU LAC AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532161200",
            "telephone_number": "414-461-2222",
            "fax_number": "414-461-8289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5542 W FOND DU LAC AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532161200",
            "telephone_number": "414-461-2222",
            "fax_number": "414-461-8289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PYRAMID CHIROPRACTIC CLINIC, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YUSUF",
        "authorized_official_first_name": "ADEBAYO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-461-2222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.