Organization Active NPI

Touchback Chiropractic and Wellness Center LLC

  • Clinic/Center
  • Green Bay, WI
National Provider Identifier
1487834156
Registry record updated Nov 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
4342-012 Issued in WI
Legal business name
TOUCHBACK CHIROPRACTIC AND WELLNESS CENTER LLC
Practice address
445 Cardinal LN
Suite 106
Green Bay, WI 54313-9577
Phone
(920) 246-8470
NPI assigned
Nov 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2007

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

Authorized official

Name
Dr. Tucker Anthony Emerson, D.C.NPI 1730369505
Title
Co-Owner
Phone
(920) 246-8470

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 4342-012 WI Primary

Addresses

Primary practice location

445 Cardinal LN
Suite 106
Green Bay, WI 54313-9577

Mailing address

2443 Mockingbird LN
Green Bay, WI 54303-6275
Phone (920) 246-8470

National Provider Directory

National Provider Directory

Locations

445 Cardinal Ln
Ste 106
Green Bay, WI 54313
Phone (920) 246-8470

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": "1194566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194566400000",
    "number": "1487834156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2443 MOCKINGBIRD LN",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543036275",
            "telephone_number": "920-246-8470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 CARDINAL LN",
            "address_2": "SUITE 106",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543139577",
            "telephone_number": "920-246-8470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOUCHBACK CHIROPRACTIC AND WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-09",
        "last_updated": "2007-11-09",
        "status": "A",
        "authorized_official_last_name": "EMERSON",
        "authorized_official_first_name": "TUCKER",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "920-246-8470",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WI",
            "license": "4342-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2007; 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.