Spineworks Decompression & Chiropractic, LLC

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

3840-012 Issued in WI

Legal business name

SPINEWORKS DECOMPRESSION & CHIROPRACTIC, LLC

Practice address

925 Milwaukee Ave
Suite a
Burlington, WI 53105-1351

Phone

(262) 763-5800

Fax

(262) 763-5815

NPI assigned

May 19, 2008

Organization subpart

No

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

Authorized official

Name

Troy Bruesewitz, DC

Title

Chiropractor

Phone

(262) 763-5800

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589328000000",
    "number": "1508023417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 MILWAUKEE AVE",
            "address_2": "SUITE A",
            "city": "BURLINGTON",
            "state": "WI",
            "postal_code": "531051351",
            "telephone_number": "262-763-5800",
            "fax_number": "262-763-5815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 MILWAUKEE AVE",
            "address_2": "SUITE A",
            "city": "BURLINGTON",
            "state": "WI",
            "postal_code": "531051351",
            "telephone_number": "262-763-5800",
            "fax_number": "262-763-5815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINEWORKS DECOMPRESSION & CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-19",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A",
        "authorized_official_last_name": "BRUESEWITZ",
        "authorized_official_first_name": "TROY",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "262-763-5800",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "WI",
            "license": "3840-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Soeth, RN-BSN
• Kam Kwan Soo, MD
• Southeastern Wisconsin Anesthesiology, S.C.
• Ryan Paul Sowka
• Kristen Rochon Spiegelhoff, APNP
• Ryan Stachon
• Stacked Therapies
• Nicole Stangler
• Hannah Kraus Stevenson, MA. CCC-SLP
• Heather Stieber

• Point of Service in Burlington, WI
• Providers in Burlington, WI by specialty
• Point of Service in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; 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.