NPIMap

Organization Active NPI

Delavan Chiropractic Center,LTD

  • Clinic/Center
  • Delavan, WI
National Provider Identifier
1376700054
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
2552 Issued in WI
Legal business name
DELAVAN CHIROPRACTIC CENTER,LTD
Practice address
1407 Racine St
Suite D
Delavan, WI 53115-1467
Phone
(262) 728-9998
NPI assigned
May 20, 2008
Last updated
May 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Authorized official

Name
Dr. David Lee Kuntz, D.C.NPI 1477720548
Title
President
Phone
(262) 728-9998

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
Clinic/Center 261Q00000X 2552 WI Primary

Addresses

Primary practice location

1407 Racine St
Suite D
Delavan, WI 53115-1467

Mailing address

1407 Racine St
Suite D
Delavan, WI 53115-1467
Phone (262) 728-9998

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": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1376700054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 RACINE ST",
            "address_2": "SUITE D",
            "city": "DELAVAN",
            "state": "WI",
            "postal_code": "531151467",
            "telephone_number": "262-728-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 RACINE ST",
            "address_2": "SUITE D",
            "city": "DELAVAN",
            "state": "WI",
            "postal_code": "531151467",
            "telephone_number": "262-728-9998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELAVAN CHIROPRACTIC CENTER,LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-20",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "KUNTZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-728-9998",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WI",
            "license": "2552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delavan, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; 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.