Great Lakes Chiropractic, LTD.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2513 Issued in WI

Legal business name

GREAT LAKES CHIROPRACTIC, LTD.

Practice address

6051 W Brown Deer Rd
Brown Deer, WI 53223-2263

Phone

(414) 355-5301

Fax

(414) 355-5483

NPI assigned

Jul 14, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Richard J Ranicke Jr., D.C.NPI 1225216708

Title

President

Phone

(262) 628-2528

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 1

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

• Richard Joseph Ranicke Jr., D.C.

  • Chiropractor
  • Brown Deer, WI
  • NPI 1225216708
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1346249166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6051 W BROWN DEER RD",
            "city": "BROWN DEER",
            "state": "WI",
            "postal_code": "532232263",
            "telephone_number": "414-355-5301",
            "fax_number": "414-355-5483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6051 W BROWN DEER RD",
            "city": "BROWN DEER",
            "state": "WI",
            "postal_code": "532232263",
            "telephone_number": "414-355-5301",
            "fax_number": "414-355-5483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAKES CHIROPRACTIC, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-14",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "RANICKE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-628-2528",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey Laura Glasenapp, MS, LPC
• Glendale Clinic Pharmacy Inc
• Frank Gorichanaz, PMHNP
• Tonya Jean Gorst, MS
• Mark Laron Graham, LPTA
• Great Lakes Orthotics & Medical Supply, Inc.
• Greenheart Living LLC
• Lisa Ann Gregorius, M.A.
• Kiera Nicole Griffin
• Richard J Grohman

• Chiropractor in Brown Deer, WI
• Providers in Brown Deer, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.