Organization Active NPI

Midwest Alignment Center,LLC

  • Chiropractor
  • Kenosha, WI
National Provider Identifier
1427499342
Registry record updated Feb 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4889-12 Issued in WI
Legal business name
MIDWEST ALIGNMENT CENTER,LLC
Practice address
9916 75TH St
Kenosha, WI 53142-7583
Phone
(262) 764-1673
Fax
(262) 764-2515
NPI assigned
Jul 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2014

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

Authorized official

Name
Dr. Punita Sood Kukreja, D.C.NPI 1740579192
Title
Partner
Phone
(262) 498-6479

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4889-12 WI Primary

Addresses

Primary practice location

9916 75TH St
Kenosha, WI 53142-7583

Mailing address

PO Box 90110
Milwaukee, WI 53209-0110
Phone (414) 247-9005

National Provider Directory

National Provider Directory

Locations

9916 75th St
Ste 102
Kenosha, WI 53142
Phone (262) 764-1673

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1373241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392768000000",
    "number": "1427499342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 90110",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532090110",
            "telephone_number": "414-247-9005",
            "fax_number": "414-247-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9916 75TH ST",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531427583",
            "telephone_number": "262-764-1673",
            "fax_number": "262-764-2515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST ALIGNMENT CENTER,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-08",
        "last_updated": "2014-02-19",
        "status": "A",
        "authorized_official_last_name": "KUKREJA",
        "authorized_official_first_name": "PUNITA",
        "authorized_official_middle_name": "SOOD",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "262-498-6479",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4889-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenosha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2014; 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.