NPIMap

Organization Active NPI

Ozaukee Chiropractic Clinic, LTD

  • Chiropractor
  • Thiensville, WI
National Provider Identifier
1548478563
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1806-12 Issued in WI
Legal business name
OZAUKEE CHIROPRACTIC CLINIC, LTD
Practice address
122 Green Bay Rd
Thiensville, WI 53092-1624
Phone
(262) 242-5577
NPI assigned
May 21, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. James R. Shelstad, D.C.NPI 1518047562
Title
President
Phone
(262) 242-5577

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 1806-12 WI Primary

Addresses

Primary practice location

122 Green Bay Rd
Thiensville, WI 53092-1624

Mailing address

122 Green Bay Rd
P.O. Box 574
Thiensville, WI 53092-1624
Phone (262) 242-5577

National Provider Directory

National Provider Directory

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": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548478563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 GREEN BAY RD",
            "address_2": "P.O. BOX 574",
            "city": "THIENSVILLE",
            "state": "WI",
            "postal_code": "530921624",
            "telephone_number": "262-242-5577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 GREEN BAY RD",
            "city": "THIENSVILLE",
            "state": "WI",
            "postal_code": "530921624",
            "telephone_number": "262-242-5577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OZAUKEE CHIROPRACTIC CLINIC, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHELSTAD",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-242-5577",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "1806-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thiensville, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.