Northern Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4096-012 Issued in WI

Legal business name

NORTHERN CHIROPRACTIC

Practice address

119 W Wisconsin Ave
Tomahawk, WI 54487-1236

Phone

(715) 453-1000

Fax

(715) 453-8947

NPI assigned

May 24, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kurt Dekiep, D.C.NPI 1114058294

Title

Owner

Phone

(715) 453-1000

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Kurt Dekiep, PA-C

  • Physician Assistant
  • Rhinelander, WI
  • NPI 1114058294
  NPD (past) Authorized official

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407067481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 W WISCONSIN AVE",
            "city": "TOMAHAWK",
            "state": "WI",
            "postal_code": "544871236",
            "telephone_number": "715-453-1000",
            "fax_number": "715-453-8947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 W WISCONSIN AVE",
            "city": "TOMAHAWK",
            "state": "WI",
            "postal_code": "544871236",
            "telephone_number": "715-453-1000",
            "fax_number": "715-453-8947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEKIEP",
        "authorized_official_first_name": "KURT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-453-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4096-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38960700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zoie L Mohr, DC
• Lori L. Mott, M.P.T.
• Kerry Newbury, PMHNP
• Emily Nicklaus, MS CCC-SLP
• Northbay Pharmacy, Inc
• Northern Sight Vision Clinic, LLC
• Northwoods Counseling LLC
• NSH Golden Age LLC (Tomahawk Health Services)
• NSH Riverview LLC (Riverview Health Services)
• Sara M Olson, NP

• Chiropractor in Tomahawk, WI
• Providers in Tomahawk, WI by specialty
• Chiropractor in Wisconsin

• 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.