Organization Active NPI

Ralston Chiropractic

  • Chiropractor
  • Muskego, WI
National Provider Identifier
1669591137
Registry record updated Nov 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3958-012 Issued in WI
Legal business name
RALSTON CHIROPRACTIC
Practice address
S72W16484 Janesville Rd
Muskego, WI 53150-8617
Phone
(414) 422-9777
NPI assigned
Mar 28, 2007
Last updated
Nov 20, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2007

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

Authorized official

Name
Dr. Paul E. Ralston, DCNPI 1003955873
Title
Owner
Phone
(414) 422-9777

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 3958-012 WI Primary

Addresses

Primary practice location

S72W16484 Janesville Rd
Muskego, WI 53150-8617

Mailing address

S72W16484 Janesville Rd
Muskego, WI 53150-8617

Other identifiers 1

IdentifierTypeStateIssuer
38947700MedicaidWI

National Provider Directory

National Provider Directory

Locations

S72W16484 Janesville Rd
Muskego, WI 53150
Phone (414) 422-9777

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": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195516800000",
    "number": "1669591137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "S72W16484 JANESVILLE RD",
            "city": "MUSKEGO",
            "state": "WI",
            "postal_code": "531508617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "S72W16484 JANESVILLE RD",
            "city": "MUSKEGO",
            "state": "WI",
            "postal_code": "531508617",
            "telephone_number": "414-422-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RALSTON CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-11-20",
        "status": "A",
        "authorized_official_last_name": "RALSTON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-422-9777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3958-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38947700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskego, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.