Organization Active NPI

Oudenhoven Chiropractic. S.C.

  • Chiropractor
  • Appleton, WI
National Provider Identifier
1720146061
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
OUDENHOVEN CHIROPRACTIC. S.C.
Practice address
3020 E College Ave
Suite F
Appleton, WI 54915-3279
Phone
(920) 738-9997
Fax
(920) 738-0603
NPI assigned
Dec 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Keith J Oudenhoven, D.C.NPI 1629013297
Title
Owner
Phone
(920) 738-9997

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

3020 E College Ave
Suite F
Appleton, WI 54915-3279

Mailing address

3020 E College Ave
Suite F
Appleton, WI 54915-3279
Phone (920) 738-9997

National Provider Directory

National Provider Directory

Locations

3020 E College Ave
Ste F
Appleton, WI 54915
Phone (920) 738-9996

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720146061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 E COLLEGE AVE",
            "address_2": "SUITE F",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549153279",
            "telephone_number": "920-738-9997",
            "fax_number": "920-738-0603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 E COLLEGE AVE",
            "address_2": "SUITE F",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549153279",
            "telephone_number": "920-738-9997",
            "fax_number": "920-738-0603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUDENHOVEN CHIROPRACTIC. S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OUDENHOVEN",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-738-9997",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.