NPIMap

Organization Active NPI

Connect Chiropractic LLC

  • Chiropractor
  • Wauwatosa, WI
National Provider Identifier
1386281640
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CONNECT CHIROPRACTIC LLC
Practice address
10702 W Burleigh St
Wauwatosa, WI 53222-3310
Phone
(414) 212-5758
NPI assigned
Dec 5, 2019
Last updated
Feb 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Authorized official

Name
Dr. Alexander Young, DCNPI 1922645290
Title
Owner
Phone
(414) 212-5758

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

10702 W Burleigh St
Wauwatosa, WI 53222-3310

Mailing address

10702 W Burleigh St
Wauwatosa, WI 53222-3310
Phone (414) 212-5758

Other practice location 1

2738 Heritage Dr
Delafield, WI 53018-2125
Phone (414) 212-5758

Other practice location 2

140 E Rawson Ave Ste 103
Oak Creek, WI 53154-1510
Phone (414) 212-5758

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191221000684 WI Part B Supplier - Clinic/Group Practice 8820422041 Receives reassigned benefits from 5 practitioners
Practice locations: Delafield, WI; Oak Creek, WI; Wauwatosa, WI

National Provider Directory

National Provider Directory

Locations

2738 Heritage Dr
Delafield, WI 53018
Phone (414) 212-5758

140 E Rawson Ave
Ste 103
Oak Creek, WI 53154
Phone (414) 212-5758

10702 W Burleigh St
Wauwatosa, WI 53222
Phone (414) 212-5758

Practitioners & affiliated clinicians

Practitioners 5

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": "1575504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739404800000",
    "number": "1386281640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10702 W BURLEIGH ST",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532223310",
            "telephone_number": "414-212-5758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10702 W BURLEIGH ST",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532223310",
            "telephone_number": "414-212-5758"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2738 Heritage Dr",
            "address_purpose": "LOCATION",
            "city": "Delafield",
            "state": "WI",
            "postal_code": "530182125",
            "country_code": "US",
            "telephone_number": "414-212-5758",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "140 E Rawson Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Oak Creek",
            "state": "WI",
            "postal_code": "531541510",
            "country_code": "US",
            "telephone_number": "414-212-5758",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CONNECT CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-05",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-212-5758",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wauwatosa, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; 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.