Active NPI
Advanced Chiropractic, S.C.
- Orthopedic Chiropractor
- Twin Lakes, WI
National Provider Identifier
1578629424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Chiropractor
- License
- 2331-012
- Legal business name
- ADVANCED CHIROPRACTIC, S.C.
- Practice address
- 237 E Main St
Twin Lakes, WI 53181-9681 - Phone
- (262) 877-2196
- NPI assigned
- Dec 28, 2006
- Last updated
- Aug 22, 2020
- 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. Patricia E. Marsden, DC
- Title
- Office Manager
- Phone
- (262) 877-2196
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Chiropractor | 111NX0800X | 2331-012 | WI | Primary |
Addresses
Primary practice location
237 E Main St
Twin Lakes, WI 53181-9681
Mailing address
237 E Main St
PO Box 130
Twin Lakes, WI 53181-9681
Phone (262) 877-2196
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38838300 | Medicaid | WI |
National Provider Directory
National Provider DirectoryLocations
6905 Green Bay Rd
Ste 102
Kenosha, WI 53142
Phone (262) 697-5000
Practitioners & affiliated clinicians
Practitioners 4
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
- Kenosha, WI
- NPI 1003921073
-
- Chiropractor
- Trevor, WI
- NPI 1326199936
-
- Chiropractor
- Osceola, WI
- NPI 1780905943
-
- Sports Physician Chiropractor
- Kenosha, WI
- NPI 1447343587
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1578629424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "237 E MAIN ST",
"address_2": "PO BOX 130",
"city": "TWIN LAKES",
"state": "WI",
"postal_code": "531819681",
"telephone_number": "262-877-2196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "237 E MAIN ST",
"city": "TWIN LAKES",
"state": "WI",
"postal_code": "531819681",
"telephone_number": "262-877-2196"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED CHIROPRACTIC, S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-28",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MARSDEN",
"authorized_official_first_name": "PATRICIA",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "262-877-2196",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111NX0800X",
"taxonomy_group": "",
"desc": "Chiropractor, Orthopedic",
"state": "WI",
"license": "2331-012",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38838300",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Twin Lakes, 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.