Active NPI
Francis Chiropractic Clinic SC
- Chiropractor
- Plymouth, WI
National Provider Identifier
1629138169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- FRANCIS CHIROPRACTIC CLINIC SC
- Practice address
- 1005 Eastern Ave
Plymouth, WI 53073-1920 - Phone
- (920) 892-4833
- Fax
- (920) 892-2106
- NPI assigned
- Dec 12, 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
- Erin Tucker
- Title
- Office Manager
- Phone
- (920) 892-4833
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
1005 Eastern Ave
Plymouth, WI 53073-1920
Mailing address
1005 Eastern Ave
Plymouth, WI 53073-1920
Phone (920) 892-4833
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34174160015 | Other | WI | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1005 Eastern Ave
Plymouth, WI 53073
Phone (920) 419-4727
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Plymouth, WI
- NPI 1114002714
-
- Chiropractor
- Plymouth, WI
- NPI 1780761999
-
- Chiropractor
- Kiel, WI
- NPI 1225152333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1429056000000",
"number": "1629138169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 EASTERN AVE",
"city": "PLYMOUTH",
"state": "WI",
"postal_code": "530731920",
"telephone_number": "920-892-4833",
"fax_number": "920-892-2106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 EASTERN AVE",
"city": "PLYMOUTH",
"state": "WI",
"postal_code": "530731920",
"telephone_number": "920-892-4833",
"fax_number": "920-892-2106"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRANCIS CHIROPRACTIC CLINIC SC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-12",
"last_updated": "2015-04-15",
"status": "A",
"authorized_official_last_name": "TUCKER",
"authorized_official_first_name": "ERIN",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "920-892-4833"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "34174160015",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Plymouth, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.