Active NPI
Fisher Chiropractic Center S.C.
- Chiropractor
- Oak Creek, WI
National Provider Identifier
1609896414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3573012
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 52D2243768 | Fisher Chiropractic Center SC | Certificate of waiver | Nov 21, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Chiropractor
- Phoenix, AZ
- NPI 1407926777
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.