Organization Active NPI

Harris Chiropractic

  • Chiropractor
  • De Pere, WI
National Provider Identifier
1548322571
Registry record updated Aug 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4066 Issued in WI
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, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2007

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

Authorized official

Name
Dr. Paul M Harris, DCNPI 1659383529
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.