Active NPI
LP Chiropractic LLC
- Chiropractor
- Kenosha, WI
National Provider Identifier
1508072836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 11N00000X
- Legal business name
- LP CHIROPRACTIC LLC
- Practice address
- 5703 75TH St
Kenosha, WI 53142-3603 - Phone
- (262) 697-1363
- Fax
- (262) 697-1388
- NPI assigned
- May 15, 2007
- 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
- Robin Nelson
- Title
- Billing
- Phone
- (262) 697-1363
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 11N00000X | WI | Primary |
Addresses
Primary practice location
5703 75TH St
Kenosha, WI 53142-3603
Mailing address
5703 75TH St
Kenosha, WI 53142-3603
Phone (262) 697-1363
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
5703 75th St
Kenosha, WI 53142
Phone (262) 697-1363
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Chiropractor
- Oconomowoc, WI
- NPI 1265884928
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Kenosha, WI
- NPI 1275589046
-
- Chiropractor
- Kenosha, WI
- NPI 1003862871
-
- Chiropractor
- Kenosha, WI
- NPI 1205246998
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1312934400000",
"number": "1508072836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5703 75TH ST",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531423603",
"telephone_number": "262-697-1363",
"fax_number": "262-697-1388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5703 75TH ST",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531423603",
"telephone_number": "262-697-1363",
"fax_number": "262-697-1388"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LP CHIROPRACTIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-15",
"last_updated": "2011-08-10",
"status": "A",
"authorized_official_last_name": "NELSON",
"authorized_official_first_name": "ROBIN",
"authorized_official_title_or_position": "BILLING",
"authorized_official_telephone_number": "262-697-1363"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "WI",
"license": "11N00000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kenosha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2011; 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.