Organization Active NPI

Thomas & Willhite Chiropractic Clinic, LTD.

Doing business as Calumet Avenue Chiropractic Clinic

  • Clinic/Center
  • Manitowoc, WI
National Provider Identifier
1447447222
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
THOMAS & WILLHITE CHIROPRACTIC CLINIC, LTD.
Doing business as
Calumet Avenue Chiropractic Clinic
Practice address
3713 Calumet Ave
Manitowoc, WI 54220-5433
Phone
(920) 682-6680
Fax
(920) 682-6983
NPI assigned
Sep 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Dean Allen Willhite, D.C.,D.A.B.C.I.NPI 1053344168
Title
President
Phone
(920) 682-6680

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
Clinic/Center 261Q00000X WI Primary

Addresses

Primary practice location

3713 Calumet Ave
Manitowoc, WI 54220-5433

Mailing address

3713 Calumet Ave
Manitowoc, WI 54220-5433
Phone (920) 682-6680

Other names 1

  • Calumet Avenue Chiropractic Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040510000068 WI Part B Supplier - Clinic/Group Practice 3476542036 Receives reassigned benefits from 1 practitioner
Practice locations: Manitowoc, WI

National Provider Directory

National Provider Directory

Locations

3713 Calumet Ave
Manitowoc, WI 54220
Phone (920) 682-6680

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1447447222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3713 CALUMET AVE",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542205433",
            "telephone_number": "920-682-6680",
            "fax_number": "920-682-6983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3713 CALUMET AVE",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542205433",
            "telephone_number": "920-682-6680",
            "fax_number": "920-682-6983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS & WILLHITE CHIROPRACTIC CLINIC, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WILLHITE",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-682-6680",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C.,D.A.B.C.I."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Calumet Avenue Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manitowoc, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.