Janovick Family Chiropractic SC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2851-012 Issued in WI

Legal business name

JANOVICK FAMILY CHIROPRACTIC SC

Practice address

5919 Tower Ave
Superior, WI 54880-7226

Phone

(715) 398-8803

Fax

(715) 398-8804

NPI assigned

Mar 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Charles Melvin Janovick, D.C.

Title

Owner

Phone

(715) 398-8803

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194480000000",
    "number": "1356474860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5919 TOWER AVE",
            "city": "SUPERIOR",
            "state": "WI",
            "postal_code": "548807226",
            "telephone_number": "715-398-8803",
            "fax_number": "715-398-8804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5919 TOWER AVE",
            "city": "SUPERIOR",
            "state": "WI",
            "postal_code": "548807226",
            "telephone_number": "715-398-8803",
            "fax_number": "715-398-8804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANOVICK FAMILY CHIROPRACTIC SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-11-08",
        "status": "A",
        "authorized_official_last_name": "JANOVICK",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "MELVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-398-8803",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2851-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL NUMBER",
            "identifier": "013R4JA",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "63I47JA",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38866100",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WI LICENSE",
            "identifier": "2851-012",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROCARE OF MN",
            "identifier": "628822",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Integrated Wound Care Management Wisconsin LLC
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• Eric D Iwen, DDS
• James a. Reedstrom, O.D., LTD.
• Daniel Scott James
• Charles Melvin Janovick, D.C.
• Trinity Janowski
• Joan Kristen Jeanetta
• Joseph Frank Jeanetta
• Jennifer Hodgson Clinical Services LLC

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

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