Organization Active NPI

Cheswickshire Group SC

  • Chiropractor
  • Kenosha, WI
National Provider Identifier
1356550149
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3607-012 Issued in WI
Legal business name
CHESWICKSHIRE GROUP SC
Practice address
4516 52ND St
Kenosha, WI 53144-3828
Phone
(262) 925-9300
Fax
(262) 925-9303
NPI assigned
May 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Authorized official

Name
Dr. Paul John SchisslerNPI 1902980832
Title
Owner/Chiropractor
Phone
(262) 925-9300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3607-012 WI Primary

Addresses

Primary practice location

4516 52ND St
Kenosha, WI 53144-3828

Mailing address

4516 52ND St
Kenosha, WI 53144-3828
Phone (262) 925-9300

Other identifiers 1

IdentifierTypeStateIssuer
38951300MedicaidWI

Other names 2

  • Kenosha Chiropractic Group Doing business as
  • Kenosha Chiropractic Office Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041201001092 WI Part B Supplier - Clinic/Group Practice 2668438680 Receives reassigned benefits from 2 practitioners
Practice locations: Kenosha, WI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1356550149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4516 52ND ST",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531443828",
            "telephone_number": "262-925-9300",
            "fax_number": "262-925-9303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4516 52ND ST",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531443828",
            "telephone_number": "262-925-9300",
            "fax_number": "262-925-9303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESWICKSHIRE GROUP SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A",
        "authorized_official_last_name": "SCHISSLER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "262-925-9300",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3607-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38951300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kenosha Chiropractic Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kenosha Chiropractic Office",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kenosha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; 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.