NPIMap

Organization Active NPI

Chiropractic Care Centers, S.C.

Doing business as Chiropractic Care Center - Jefferson

  • Chiropractor
  • Jefferson, WI
National Provider Identifier
1356482822
Registry record updated Jul 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CHIROPRACTIC CARE CENTERS, S.C.
Doing business as
Chiropractic Care Center - Jefferson
Practice address
109 E Milwaukee St
Jefferson, WI 53549-1635
Phone
(920) 674-6627
Fax
(920) 674-6632
NPI assigned
Feb 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2013

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

Authorized official

Name
Mr. Rhys Marohn
Title
Business Manager
Phone
(920) 980-3786

Specialties & licenses 1

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

Addresses

Primary practice location

109 E Milwaukee St
Jefferson, WI 53549-1635

Mailing address

109 E Milwaukee St
Jefferson, WI 53549-1635
Phone (920) 674-6627

Other names 1

  • Chiropractic Care Center - Jefferson Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374192000000",
    "number": "1356482822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 E MILWAUKEE ST",
            "city": "JEFFERSON",
            "state": "WI",
            "postal_code": "535491635",
            "telephone_number": "920-674-6627",
            "fax_number": "920-674-6632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 E MILWAUKEE ST",
            "city": "JEFFERSON",
            "state": "WI",
            "postal_code": "535491635",
            "telephone_number": "920-674-6627",
            "fax_number": "920-674-6632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC CARE CENTERS, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2013-07-19",
        "status": "A",
        "authorized_official_last_name": "MAROHN",
        "authorized_official_first_name": "RHYS",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "920-980-3786",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chiropractic Care Center - Jefferson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jefferson, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2013; 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.