Advantage Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5228-12 Issued in WI

Legal business name

ADVANTAGE CHIROPRACTIC, LLC

Practice address

17047 W Greenfield Ave
New Berlin, WI 53151-1364

Phone

(920) 420-6753

NPI assigned

Jan 19, 2017

Last updated

Jan 19, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Evan Norum, D.C.NPI 1407392798

Title

Owner

Phone

(920) 420-6753

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 2

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.

• Evan Norum, D.C.

  • Chiropractor
  • New Berlin, WI
  • NPI 1407392798
  Medicare reassignment NPD Authorized official
• Taylor Moore, DC

  • Chiropractor
  • Middleton, WI
  • NPI 1770143802
  NPD

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

{
    "created_epoch": "1484784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484784000000",
    "number": "1366989055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17047 W GREENFIELD AVE",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531511364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17047 W GREENFIELD AVE",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531511364",
            "telephone_number": "920-420-6753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-19",
        "last_updated": "2017-01-19",
        "status": "A",
        "authorized_official_last_name": "NORUM",
        "authorized_official_first_name": "EVAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-420-6753",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5228-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Adamo, PA
• Josephine Kvette Adams
• Sandra Marie Adams, PHD, CSAC, ICS
• Advanced Healthcare, S.C.
• Advanced Healthcare, S.C.
• Advantage Physical Therapy & Sports Rehab, LLC (CORA Physical Therapy - New Berlin)
• Aegis Group Practice LLC
• Affect Provider Group P.S.C.
• Affiliated Dermatologists SC
• Alana Akam, PHARMD

• Chiropractor in New Berlin, WI
• Providers in New Berlin, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2017; 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.