Active NPI
Marla K Mayerson, DC
- Chiropractor
- Milwaukee, WI
National Provider Identifier
1679212633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5739-12
- Practice address
- 3064 S Kinnickinnic Ave
Milwaukee, WI 53207-2966 - Phone
- (414) 747-8822
- NPI assigned
- May 28, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | 5739-12 | WI | Primary |
Addresses
Primary practice location
3064 S Kinnickinnic Ave
Milwaukee, WI 53207-2966
Mailing address
701 River Ridge Dr
Waterford, WI 53185-3386
Phone (414) 747-8822
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 2014
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3064 S Kinnickinnic Ave
Milwaukee, WI 53207-2966
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5739-12 | WI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiropractic Resonance and Integrative Nutrition, LLC | Chiropractor | Current | Accepting new patients |
Locations
3064 S Kinnickinnic Ave
Milwaukee, WI 53207
Phone (414) 747-8822
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Milwaukee, WI
- NPI 1841084530
-
- Internist Chiropractor
- Milwaukee, WI
- NPI 1487659819
-
- Pediatric Chiropractor
- Milwaukee, WI
- NPI 1528918224
-
- Multi-Specialty Clinic/Center
- Milwaukee, WI
- NPI 1497768659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741132800000",
"number": "1679212633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 RIVER RIDGE DR",
"city": "WATERFORD",
"state": "WI",
"postal_code": "531853386",
"telephone_number": "414-747-8822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3064 S KINNICKINNIC AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532072966",
"telephone_number": "414-747-8822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYERSON",
"first_name": "MARLA",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-28",
"last_updated": "2025-03-05",
"certification_date": "2025-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "WI",
"license": "5739-12",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.