Organization Active NPI

Synergy Chiropractic, LLC

  • Chiropractor
  • Greenville, WI
National Provider Identifier
1386978419
Registry record updated Sep 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
452612 Issued in WI
Legal business name
SYNERGY CHIROPRACTIC, LLC
Practice address
N1739 Lily of the Valley Dr
Suite 7
Greenville, WI 54942-9105
Phone
(920) 268-7352
Fax
(920) 757-6446
NPI assigned
Sep 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2009

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

Authorized official

Name
Dr. Jessica Lea Will, D.C.
Title
Owner
Phone
(920) 268-7352

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 452612 WI Primary

Addresses

Primary practice location

N1739 Lily of the Valley Dr
Suite 7
Greenville, WI 54942-9105

Mailing address

N1739 Lily of the Valley Dr
Suite 7
Greenville, WI 54942-9105
Phone (920) 268-7352

National Provider Directory

National Provider Directory

Locations

N1739 Lily of the Valley Dr
#D
Greenville, WI 54942
Phone (920) 757-6440

N1739 Lily of the Valley Dr
Greenville, WI 54942
Phone (920) 268-7352

NPI Registry JSON

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

{
    "created_epoch": "1253577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253577600000",
    "number": "1386978419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N1739 LILY OF THE VALLEY DR",
            "address_2": "SUITE 7",
            "city": "GREENVILLE",
            "state": "WI",
            "postal_code": "549429105",
            "telephone_number": "920-268-7352",
            "fax_number": "920-757-6446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N1739 LILY OF THE VALLEY DR",
            "address_2": "SUITE 7",
            "city": "GREENVILLE",
            "state": "WI",
            "postal_code": "549429105",
            "telephone_number": "920-268-7352",
            "fax_number": "920-757-6446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-22",
        "last_updated": "2009-09-22",
        "status": "A",
        "authorized_official_last_name": "WILL",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-268-7352",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "452612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2009; 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.