Organization Active NPI

Align Chiropractic LLC

  • Chiropractor
  • Manawa, WI
National Provider Identifier
1669779914
Registry record updated Feb 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4582-012 Issued in WI
Legal business name
ALIGN CHIROPRACTIC LLC
Practice address
328 S Bridge St
Manawa, WI 54949-9581
Phone
(920) 720-6300
Fax
(920) 720-6315
NPI assigned
Feb 23, 2011
Last updated
Feb 23, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2011

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

Authorized official

Name
Dr. Grant C O'BrienNPI 1851628283
Title
Chiropractor
Phone
(920) 720-6300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4582-012 WI Primary

Addresses

Primary practice location

328 S Bridge St
Manawa, WI 54949-9581

Mailing address

328 S Bridge St
Manawa, WI 54949-9581
Phone (920) 720-6300

National Provider Directory

National Provider Directory
Tax ID family
Align Chiropractic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

NPI Registry JSON

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

{
    "created_epoch": "1298419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298419200000",
    "number": "1669779914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 S BRIDGE ST",
            "city": "MANAWA",
            "state": "WI",
            "postal_code": "549499581",
            "telephone_number": "920-720-6300",
            "fax_number": "920-720-6315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 S BRIDGE ST",
            "city": "MANAWA",
            "state": "WI",
            "postal_code": "549499581",
            "telephone_number": "920-720-6300",
            "fax_number": "920-720-6315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALIGN CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-23",
        "last_updated": "2011-02-23",
        "status": "A",
        "authorized_official_last_name": "O'BRIEN",
        "authorized_official_first_name": "GRANT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "920-720-6300",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4582-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manawa, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2011; 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.