Active NPI
Phoenix Chiropractic and Wellness, LLC
- Chiropractor
- Neenah, WI
National Provider Identifier
1366049793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- PHOENIX CHIROPRACTIC AND WELLNESS, LLC
- Practice address
- 250 N Green Bay Rd
Neenah, WI 54956-2285 - Phone
- (920) 725-3333
- NPI assigned
- Oct 8, 2020
- Last updated
- Sep 15, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melissa Burghardt, DC
- Title
- Chiropractor
- Phone
- (920) 379-4737
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | NU | Primary |
Addresses
Primary practice location
250 N Green Bay Rd
Neenah, WI 54956-2285
Mailing address
250 N Green Bay Rd Unit D
Neenah, WI 54956-2285
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
250 N Green Bay Rd
Ste 2
Neenah, WI 54956
Phone (920) 725-3333
250 N Green Bay Rd
Unit D
Neenah, WI 54956
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Chiropractor
- Neenah, WI
- NPI 1821474057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602115200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757894400000",
"number": "1366049793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 N GREEN BAY RD UNIT D",
"city": "NEENAH",
"state": "WI",
"postal_code": "549562285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 N GREEN BAY RD",
"city": "NEENAH",
"state": "WI",
"postal_code": "549562285",
"telephone_number": "920-725-3333"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHOENIX CHIROPRACTIC AND WELLNESS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-08",
"last_updated": "2025-09-15",
"certification_date": "2025-09-15",
"status": "A",
"authorized_official_last_name": "BURGHARDT",
"authorized_official_first_name": "MELISSA",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "920-379-4737",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Neenah, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.