Organization Active NPI

Cornell Chiropractic, LLC

  • Chiropractor
  • Cornell, WI
National Provider Identifier
1386744019
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4918 Issued in CO
Legal business name
CORNELL CHIROPRACTIC, LLC
Practice address
425 Bridge St
Cornell, WI 54732-8391
Phone
(715) 239-0909
NPI assigned
Sep 23, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Greogory James Sanchez, D.C.
Title
Owner
Phone
(715) 312-0405

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Locations

425 Bridge St
Cornell, WI 54732
Phone (715) 239-0909

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4918 CO Primary

Addresses

NPPES NPI Registry

Primary practice location

425 Bridge St
Cornell, WI 54732-8391

Mailing address

425 Bridge St
Cornell, WI 54732-8391
Phone (715) 239-0909

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1158969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386744019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 BRIDGE ST",
            "city": "CORNELL",
            "state": "WI",
            "postal_code": "547328391",
            "telephone_number": "715-239-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 BRIDGE ST",
            "city": "CORNELL",
            "state": "WI",
            "postal_code": "547328391",
            "telephone_number": "715-239-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNELL CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "GREOGORY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-312-0405",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "4918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cornell, 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.