Organization Active NPI

Neenah Family Chiropractic, LLC

  • Chiropractor
  • Neenah, WI
National Provider Identifier
1497945778
Registry record updated Aug 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
NEENAH FAMILY CHIROPRACTIC, LLC
Practice address
116 W Columbian Ave
Neenah, WI 54956-3018
Phone
(920) 969-1882
Fax
(920) 886-3613
NPI assigned
Aug 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2007

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

Authorized official

Name
Dr. Carrie L Richter, D.C.NPI 1508915067
Title
Doctor/Co-Owner
Phone
(920) 969-1882

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

116 W Columbian Ave
Neenah, WI 54956-3018

Mailing address

116 W Columbian Ave
Neenah, WI 54956-3018
Phone (920) 969-1882

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040609000357 WI Part B Supplier - Clinic/Group Practice 9234112566 Receives reassigned benefits from 1 practitioner
Practice locations: Neenah, WI

National Provider Directory

National Provider Directory

Locations

116 W Columbian Ave
Neenah, WI 54956
Phone (920) 969-1882

Practitioners & affiliated clinicians

Practitioners 3

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": "1185926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185926400000",
    "number": "1497945778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 W COLUMBIAN AVE",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549563018",
            "telephone_number": "920-969-1882",
            "fax_number": "920-886-3613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 W COLUMBIAN AVE",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549563018",
            "telephone_number": "920-969-1882",
            "fax_number": "920-886-3613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEENAH FAMILY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-01",
        "last_updated": "2007-08-01",
        "status": "A",
        "authorized_official_last_name": "RICHTER",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DOCTOR/CO-OWNER",
        "authorized_official_telephone_number": "920-969-1882",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Neenah, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2007; 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.