Active NPI
Fleuchaus Chiropractic Clinic LLC
- Health Service Clinic/Center
- West Allis, WI
National Provider Identifier
1487015723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- 2716-012
- Legal business name
- FLEUCHAUS CHIROPRACTIC CLINIC LLC
- Practice address
- 9538 W Greenfield Ave
West Allis, WI 53214-2701 - Phone
- (414) 456-9896
- NPI assigned
- Mar 15, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Charles S Fleuchaus, DC
- Title
- Owner Member
- Phone
- (414) 456-9896
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | 2716-012 | WI | Primary |
Addresses
Primary practice location
9538 W Greenfield Ave
West Allis, WI 53214-2701
Mailing address
9538 W Greenfield Ave
West Allis, WI 53214-2701
Phone (414) 456-9896
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38894300 | Medicaid | WI |
National Provider Directory
National Provider DirectoryLocations
9538 W Greenfield Ave
West Allis, WI 53214
Phone (414) 456-9896
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458000000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1458000000000",
"number": "1487015723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9538 W GREENFIELD AVE",
"city": "WEST ALLIS",
"state": "WI",
"postal_code": "532142701",
"telephone_number": "414-456-9896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9538 W GREENFIELD AVE",
"city": "WEST ALLIS",
"state": "WI",
"postal_code": "532142701",
"telephone_number": "414-456-9896"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FLEUCHAUS CHIROPRACTIC CLINIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-15",
"last_updated": "2016-03-15",
"status": "A",
"authorized_official_last_name": "FLEUCHAUS",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER MEMBER",
"authorized_official_telephone_number": "414-456-9896",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "WI",
"license": "2716-012",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38894300",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Allis, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.