Organization Active NPI

Fisher Chiropractic Center S.C.

  • Chiropractor
  • Oak Creek, WI
National Provider Identifier
1609896414
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3573012 Issued in WI
Legal business name
FISHER CHIROPRACTIC CENTER S.C.
Practice address
9545 S 20TH St
Oak Creek, WI 53154-4929
Phone
(262) 930-1776
Fax
(262) 364-2599
NPI assigned
Jul 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Authorized official

Name
Dr. John Robert Fisher Jr., DC
Title
President
Phone
(262) 930-1776

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 3573012 WI Primary

Addresses

Primary practice location

9545 S 20TH St
Oak Creek, WI 53154-4929

Mailing address

6233 Durand Ave
Racine, WI 53406
Phone (262) 554-6449

Other names 1

  • I-94 Clinic Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D2243768Fisher Chiropractic Center SC9545 S 20TH St Suite 4, Oak Creek, WI 53154Certificate of waiverNov 21, 2027

National Provider Directory

National Provider Directory

Locations

6233 Durand Ave
Mount Pleasant, WI 53406
Phone (262) 554-6449

9545 S 20th St
Oak Creek, WI 53154
Phone (262) 930-1776

Practitioners & affiliated clinicians

Practitioners 1

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": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710979200000",
    "number": "1609896414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6233 DURAND AVE",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "53406",
            "telephone_number": "262-554-6449",
            "fax_number": "262-554-8609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9545 S 20TH ST",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531544929",
            "telephone_number": "262-930-1776",
            "fax_number": "262-364-2599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FISHER CHIROPRACTIC CENTER S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-930-1776",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3573012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "I-94 Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oak Creek, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.