Organization Active NPI

Stephen G. Flikke D.C. S.C.

  • Rehabilitation Chiropractor
  • Hudson, WI
National Provider Identifier
1700031044
Registry record updated Dec 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
4442-012 Issued in WI
Legal business name
STEPHEN G. FLIKKE D.C. S.C.
Practice address
2424 Monetary Blvd Ste 105
Hudson, WI 54016-8737
Phone
(715) 386-4075
Fax
(715) 387-6406
NPI assigned
Dec 1, 2008
Last updated
Dec 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2008

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

Authorized official

Name
Dr. Stephen Flikke, D.C.NPI 1922185180
Title
Owner
Phone
(715) 386-4075

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
Rehabilitation Chiropractor 111NR0400X 4442-012 WI Primary

Addresses

Primary practice location

2424 Monetary Blvd Ste 105
Hudson, WI 54016-8737

Mailing address

2424 Monetary Blvd Ste 105
Hudson, WI 54016-8737
Phone (715) 386-4075

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090313000164 WI Part B Supplier - Clinic/Group Practice 6103982376 Receives reassigned benefits from 1 practitioner
Practice locations: Hudson, WI

National Provider Directory

National Provider Directory

Locations

2424 Monetary Blvd
Ste 105
Hudson, WI 54016
Phone (715) 386-4075

2501 Hanley Rd
Ste 102
Hudson, WI 54016
Phone (715) 386-4075

Practitioners & affiliated clinicians

Practitioners 3

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": "1228089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228089600000",
    "number": "1700031044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 MONETARY BLVD STE 105",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540168737",
            "telephone_number": "715-386-4075",
            "fax_number": "715-387-6406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 MONETARY BLVD STE 105",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540168737",
            "telephone_number": "715-386-4075",
            "fax_number": "715-387-6406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN G. FLIKKE D.C. S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-01",
        "last_updated": "2008-12-01",
        "status": "A",
        "authorized_official_last_name": "FLIKKE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-386-4075",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "WI",
            "license": "4442-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2008; 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.