Organization Active NPI

Fleuchaus Chiropractic Clinic LLC

  • Health Service Clinic/Center
  • West Allis, WI
National Provider Identifier
1487015723
Registry record updated Mar 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
2716-012 Issued in WI
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

Updated by the provider on Mar 15, 2016

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
38894300MedicaidWI

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.