Active NPI
Timothy Michael Horton, DC
- Chiropractor
- Mequon, WI
National Provider Identifier
1629432158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5114-12
- Practice address
- 11129 N Wauwatosa Rd
Mequon, WI 53097-3431 - Phone
- (414) 354-5377
- NPI assigned
- Apr 11, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5114-12 | WI | Primary |
Addresses
Primary practice location
11129 N Wauwatosa Rd
Mequon, WI 53097-3431
Mailing address
11129 N Wauwatosa Rd
Mequon, WI 53097-3431
Phone (414) 354-5377
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5114-12 | WI | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460332800000",
"number": "1629432158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11129 N WAUWATOSA RD",
"city": "MEQUON",
"state": "WI",
"postal_code": "530973431",
"telephone_number": "414-354-5377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11129 N WAUWATOSA RD",
"city": "MEQUON",
"state": "WI",
"postal_code": "530973431",
"telephone_number": "414-354-5377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORTON",
"first_name": "TIMOTHY",
"middle_name": "MICHAEL",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-11",
"last_updated": "2016-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "5114-12",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mequon, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.