NPIMap

Organization Active NPI

Ellenson Family Chiropractic LLC

  • Clinic/Center
  • Waukesha, WI
National Provider Identifier
1578996658
Registry record updated Aug 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
4932 - 12 Issued in WI
Legal business name
ELLENSON FAMILY CHIROPRACTIC LLC
Practice address
21075 Swenson Dr
Waukesha, WI 53186-2000
Phone
(262) 754-6850
NPI assigned
Aug 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2013

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

Authorized official

Name
Dr. Nicholas EllensonNPI 1568769552
Title
DC
Phone
(262) 754-6850

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
Clinic/Center 261Q00000X 4932 - 12 WI Primary

Addresses

Primary practice location

21075 Swenson Dr
Waukesha, WI 53186-2000

Mailing address

21075 Swenson Dr
Waukesha, WI 53186-2000
Phone (262) 754-6850

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1376352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376352000000",
    "number": "1578996658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21075 SWENSON DR",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531862000",
            "telephone_number": "262-754-6850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21075 SWENSON DR",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531862000",
            "telephone_number": "262-754-6850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLENSON FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-13",
        "last_updated": "2013-08-13",
        "status": "A",
        "authorized_official_last_name": "ELLENSON",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "DC",
        "authorized_official_telephone_number": "262-754-6850",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WI",
            "license": "4932 - 12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukesha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2013; 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.