Horicon Street Chiropractic, S.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2886-012 Issued in WI

Legal business name

HORICON STREET CHIROPRACTIC, S.C.

Practice address

935 Horicon St.
Mayville, WI 53050

Phone

(920) 387-3240

Fax

(920) 387-4245

NPI assigned

Mar 6, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Amy B. McDondald

Title

Chiropractic Assistant

Phone

(920) 387-3240

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 1

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

• Sarah Mary Frings-Netys, DC

  • Chiropractor
  • Mayville, WI
  • NPI 1730233925
  Medicare reassignment NPD

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477683142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 HORICON STREET",
            "city": "MAYVILLE",
            "state": "WI",
            "postal_code": "53050",
            "telephone_number": "920-387-3240",
            "fax_number": "920-387-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 HORICON ST.",
            "city": "MAYVILLE",
            "state": "WI",
            "postal_code": "53050",
            "telephone_number": "920-387-3240",
            "fax_number": "920-387-4245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORICON STREET CHIROPRACTIC, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCDONDALD",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "CHIROPRACTIC ASSISTANT",
        "authorized_official_telephone_number": "920-387-3240",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2886-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fatmeh Hamdan
• James John Herget, DDS
• Herman School District 22
• Ashley Nicole Hettich, PT, DPT
• Cassandre Bezold Hetzer, O.D.
• Samantha Rose Jacoby, PTA
• Cyndi L Jurgensen, DC
• Angela N Katzfuss, PHARMD
• Marci D. Kessen, M.D.
• Alisha L Ketterer, MD

• All providers in Mayville, WI
• 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.
• 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.