Organization Active NPI

Advance Chiropractic Health Center, Inc.

  • Chiropractor
  • Appleton, WI
National Provider Identifier
1649452483
Registry record updated Jun 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2607 Issued in WI
Legal business name
ADVANCE CHIROPRACTIC HEALTH CENTER, INC.
Practice address
2308 W Nordale Dr
Appleton, WI 54914-1887
Phone
(920) 733-0200
Fax
(920) 733-8512
NPI assigned
Dec 4, 2007
Last updated
Jun 13, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2011

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

Authorized official

Name
Dr. James A. Schiavo, D.C.NPI 1699840223
Title
Owner
Phone
(920) 733-0200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2607 WI Primary

Addresses

Primary practice location

2308 W Nordale Dr
Appleton, WI 54914-1887

Mailing address

2308 W Nordale Dr
Appleton, WI 54914-1887
Phone (920) 733-0200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110613000281 WI Part B Supplier - Clinic/Group Practice 0749467124 Receives reassigned benefits from 1 practitioner
Practice locations: Appleton, WI

National Provider Directory

National Provider Directory

Locations

2308 W Nordale Dr
Appleton, WI 54914
Phone (920) 733-0200

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307923200000",
    "number": "1649452483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2308 W NORDALE DR",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549141887",
            "telephone_number": "920-733-0200",
            "fax_number": "920-733-8512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2308 W NORDALE DR",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549141887",
            "telephone_number": "920-733-0200",
            "fax_number": "920-733-8512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE CHIROPRACTIC HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2011-06-13",
        "status": "A",
        "authorized_official_last_name": "SCHIAVO",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-733-0200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2011; 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.

Verify at the official NPI Registry.