Active NPI
Harris Chiropractic
- Chiropractor
- De Pere, WI
National Provider Identifier
1548322571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4066
- Legal business name
- HARRIS CHIROPRACTIC
- Practice address
- 580 Redbird Cir
De Pere, WI 54115-8785 - Phone
- (920) 632-4699
- Fax
- (920) 632-4704
- NPI assigned
- Dec 15, 2006
- Last updated
- Aug 29, 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
- Dr. Paul M Harris, DC
- Title
- Owner
- Phone
- (920) 499-4575
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4066 | WI | Primary |
Addresses
Primary practice location
580 Redbird Cir
De Pere, WI 54115-8785
Mailing address
580 Redbird Cir
De Pere, WI 54115-8785
Phone (920) 632-4699
National Provider Directory
National Provider DirectoryLocations
580 Redbird Cir
De Pere, WI 54115
Phone (920) 336-2600
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Chiropractor
- De Pere, WI
- NPI 1659383529
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1188345600000",
"number": "1548322571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "580 REDBIRD CIR",
"city": "DE PERE",
"state": "WI",
"postal_code": "541158785",
"telephone_number": "920-632-4699",
"fax_number": "920-632-4704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "580 REDBIRD CIR",
"city": "DE PERE",
"state": "WI",
"postal_code": "541158785",
"telephone_number": "920-632-4699",
"fax_number": "920-632-4704"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HARRIS CHIROPRACTIC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-15",
"last_updated": "2007-08-29",
"status": "A",
"authorized_official_last_name": "HARRIS",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "920-499-4575",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "4066",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in De Pere, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.