Active NPI
Osborne Family Chiropractic
- Chiropractor
- Milwaukee, WI
National Provider Identifier
1376711648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4190-012
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38966000 | Medicaid | WI |
National Provider Directory
National Provider DirectoryLocations
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.