Organization Active NPI

Fox Chiropractic, LLC

  • Chiropractor
  • Edgerton, WI
National Provider Identifier
1366585382
Registry record updated Sep 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3264 Issued in WI
Legal business name
FOX CHIROPRACTIC, LLC
Practice address
1809 W Cox Rd
Box 127
Edgerton, WI 53534-8525
Phone
(608) 754-3977
NPI assigned
Feb 15, 2007
Last updated
Sep 11, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2012

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

Authorized official

Name
Dr. James Michael Fox, D.C.NPI 1386643302
Title
Owner
Phone
(608) 754-3977

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 3264 WI Primary

Addresses

Primary practice location

1809 W Cox Rd
Box 127
Edgerton, WI 53534-8525

Mailing address

1809 W Cox Rd
Box 127
Edgerton, WI 53534-8525
Phone (608) 754-3977

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071204000344 WI Part B Supplier - Clinic/Group Practice 1850480583 Receives reassigned benefits from 1 practitioner
Practice locations: Edgerton, WI

National Provider Directory

National Provider Directory

Locations

1809 W Cox Rd
Edgerton, WI 53534
Phone (608) 754-3977

1809 W Cox Rd
#127
Edgerton, WI 53534
Phone (608) 754-3977

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347321600000",
    "number": "1366585382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 W COX RD",
            "address_2": "BOX 127",
            "city": "EDGERTON",
            "state": "WI",
            "postal_code": "535348525",
            "telephone_number": "608-754-3977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 W COX RD",
            "address_2": "BOX 127",
            "city": "EDGERTON",
            "state": "WI",
            "postal_code": "535348525",
            "telephone_number": "608-754-3977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOX CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2012-09-11",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-754-3977",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgerton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; 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.