Chiropractic Company S.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3397-012 Issued in WI

Legal business name

CHIROPRACTIC COMPANY S.C.

Practice address

17550 W Bluemound Rd
Suite 210
Brookfield, WI 53045-2928

Phone

(262) 782-2273

Fax

(262) 782-6946

NPI assigned

Jul 22, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mark Christopher Nemetz, D.C.

Title

Clinic Director

Phone

(262) 782-2273

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Chiropractic Company SC2 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.

• Chiropractic Company S.C.

  • Chiropractor
  • Glendale, WI
  • NPI 1972667913
  NPD tax ID

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264032000000",
    "number": "1720009806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17550 W BLUEMOUND RD",
            "address_2": "SUITE 210",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530452928",
            "telephone_number": "262-782-2273",
            "fax_number": "262-782-6946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17550 W BLUEMOUND RD",
            "address_2": "SUITE 210",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530452928",
            "telephone_number": "262-782-2273",
            "fax_number": "262-782-6946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC COMPANY S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2010-01-21",
        "status": "A",
        "authorized_official_last_name": "NEMETZ",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "262-782-2273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3397-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38950000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Jennifer Chmielewski
• Euiyoung Chong, DMD
• Chosen One Adult Family LLC
• Christian Counseling Associates LLC
• Christian Life Counseling LLC

• All providers in Brookfield, WI
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2010; 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.