Active NPI
Nobles Chiropractic Wellness Center, LLC
- Chiropractor
- Lakewood, WI
National Provider Identifier
1629000120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3964-012
- Legal business name
- NOBLES CHIROPRACTIC WELLNESS CENTER, LLC
- Practice address
- 15481 Commercial Rd
Lakewood, WI 54138-9677 - Phone
- (715) 276-3401
- Fax
- (715) 276-1533
- NPI assigned
- Jul 7, 2006
- Last updated
- Oct 20, 2010
- 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. Jason W. Nobles, DC
- Title
- Owner
- Phone
- (715) 276-3401
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3964-012 | WI | Primary |
Addresses
Primary practice location
15481 Commercial Rd
Lakewood, WI 54138-9677
Mailing address
15481 Commercial Rd
Lakewood, WI 54138-9677
Phone (715) 276-3401
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39002300 | Medicaid | WI |
National Provider Directory
National Provider DirectoryLocations
15481 Commercial Rd
Lakewood, WI 54138
Phone (715) 276-3401
Practitioners & affiliated clinicians
Practitioners 2
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
- Green Bay, WI
- NPI 1366477341
-
- Chiropractor
- Lakewood, WI
- NPI 1174830244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1287532800000",
"number": "1629000120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15481 COMMERCIAL RD",
"city": "LAKEWOOD",
"state": "WI",
"postal_code": "541389677",
"telephone_number": "715-276-3401",
"fax_number": "715-276-1533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15481 COMMERCIAL RD",
"city": "LAKEWOOD",
"state": "WI",
"postal_code": "541389677",
"telephone_number": "715-276-3401",
"fax_number": "715-276-1533"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOBLES CHIROPRACTIC WELLNESS CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-07",
"last_updated": "2010-10-20",
"status": "A",
"authorized_official_last_name": "NOBLES",
"authorized_official_first_name": "JASON",
"authorized_official_middle_name": "W.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "715-276-3401",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "3964-012",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "39002300",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, WI
- Jodi Marie Marsh, LPC
- Lori Lee Nelson, RDH
- Nicolet Pharmacy Inc (Nicolet Pharmacy)
- Nicolet Pharmacy Long Term Care
- Nicolet Pharmacy, Inc. (Nicolet Pharmacy Inc-340B Pharmacy)
- Oconto Hospital & Medical Center Inc (Bellin Health Lakewood)
- Lance R. Orlinski, D.D.S.
- Orthopedic & Spine Therapy of Lakewood, SC
- Orthopedic & Spine Therapy of Lakewood, SC
- Sara Piontek
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.