Organization Active NPI

First Chiropractic SC

Doing business as First Care Chiropractic SC

  • Chiropractor
  • Oshkosh, WI
National Provider Identifier
1376668350
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2264 Issued in WI
Legal business name
FIRST CHIROPRACTIC SC
Doing business as
First Care Chiropractic SC
Practice address
1177 S Washburn Street
Oshkosh, WI 54904-8053
Phone
(920) 235-5522
Fax
(920) 235-6417
NPI assigned
Mar 20, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Paul J Reidinger, CHIROPRACTOR
Title
President
Phone
(920) 235-5522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2264 WI Primary

Addresses

Primary practice location

1177 S Washburn Street
Oshkosh, WI 54904-8053

Mailing address

1177 S Washburn Street
Oshkosh, WI 54904-8053
Phone (920) 235-5522

Other identifiers 1

IdentifierTypeStateIssuer
38837700MedicaidWI

Other names 1

  • First Care Chiropractic SC Doing business as

National Provider Directory

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376668350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1177 S WASHBURN STREET",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549048053",
            "telephone_number": "920-235-5522",
            "fax_number": "920-235-6417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1177 S WASHBURN STREET",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549048053",
            "telephone_number": "920-235-5522",
            "fax_number": "920-235-6417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CHIROPRACTIC SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REIDINGER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-235-5522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "CHIROPRACTOR"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38837700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Care Chiropractic SC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oshkosh, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.