Organization Active NPI

Appleton Chiropractic, Inc.

  • Health Service Clinic/Center
  • Appleton, WI
National Provider Identifier
1528204682
Registry record updated Dec 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
1369-012 Issued in WI
Legal business name
APPLETON CHIROPRACTIC, INC.
Practice address
2425 W Wisconsin Ave
Appleton, WI 54914-3110
Phone
(920) 731-0715
NPI assigned
Dec 19, 2008
Last updated
Dec 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2008

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

Authorized official

Name
Dr. Roy Ostenson, B.S., D.C.NPI 1235299751
Title
President
Phone
(920) 731-0715

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
Health Service Clinic/Center 261QH0100X 1369-012 WI Primary

Addresses

Primary practice location

2425 W Wisconsin Ave
Appleton, WI 54914-3110

Mailing address

2425 W Wisconsin Ave
Appleton, WI 54914-3110
Phone (920) 731-0715

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090612000468 WI Part B Supplier - Clinic/Group Practice 2163572157 Receives reassigned benefits from 1 practitioner
Practice locations: Appleton, WI

National Provider Directory

National Provider Directory

Locations

2425 W Wisconsin Ave
Appleton, WI 54914
Phone (920) 731-0715

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1229644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229644800000",
    "number": "1528204682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 W WISCONSIN AVE",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549143110",
            "telephone_number": "920-731-0715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 W WISCONSIN AVE",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549143110",
            "telephone_number": "920-731-0715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLETON CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-19",
        "last_updated": "2008-12-19",
        "status": "A",
        "authorized_official_last_name": "OSTENSON",
        "authorized_official_first_name": "ROY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-731-0715",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "B.S., D.C."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "WI",
            "license": "1369-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2008; 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.