Organization Active NPI

Osborne Family Chiropractic

  • Chiropractor
  • Milwaukee, WI
National Provider Identifier
1376711648
Registry record updated Mar 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4190-012 Issued in WI
Legal business name
OSBORNE FAMILY CHIROPRACTIC
Practice address
3921 S 76TH St
Milwaukee, WI 53220-2320
Phone
(414) 546-1090
Fax
(414) 546-1065
NPI assigned
Feb 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2008

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

Authorized official

Name
Dr. Jodi Marie Osborne, D.C.
Title
President
Phone
41454610190

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4190-012 WI Primary

Addresses

Primary practice location

3921 S 76TH St
Milwaukee, WI 53220-2320

Mailing address

3921 S 76TH St
Milwaukee, WI 53220-2320
Phone (414) 546-1090

Other identifiers 1

IdentifierTypeStateIssuer
38966000MedicaidWI

National Provider Directory

National Provider Directory

Locations

10920 W Forest Home Ave
Hales Corners, WI 53130
Phone (414) 235-3807

3921 S 76th St
Milwaukee, WI 53220
Phone (414) 545-2121

NPI Registry JSON

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1376711648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3921 S 76TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532202320",
            "telephone_number": "414-546-1090",
            "fax_number": "414-546-1065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3921 S 76TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532202320",
            "telephone_number": "414-546-1090",
            "fax_number": "414-546-1065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSBORNE FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-20",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "OSBORNE",
        "authorized_official_first_name": "JODI",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "41454610190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4190-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38966000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.