Organization Active NPI

Quest Chiropractic LLC

  • Chiropractor
  • Green Bay, WI
National Provider Identifier
1720268808
Registry record updated Nov 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3966-012 Issued in WI
Legal business name
QUEST CHIROPRACTIC LLC
Practice address
2337 S Ridge Rd
Suite B
Green Bay, WI 54304-5857
Phone
(922) 049-7837
Fax
(920) 498-8368
NPI assigned
Nov 6, 2007
Last updated
Nov 6, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2007

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

Authorized official

Name
Dr. Mark W. KrebsbachNPI 1750375523
Title
Doctor of Chiropractic
Phone
(920) 497-8378

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
Chiropractor 111N00000X 3966-012 WI Primary

Addresses

Primary practice location

2337 S Ridge Rd
Suite B
Green Bay, WI 54304-5857

Mailing address

2337 S Ridge Rd
Suite B
Green Bay, WI 54304-5857
Phone (922) 049-7837

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050221000286 WI Part B Supplier - Clinic/Group Practice 8729030580 Receives reassigned benefits from 1 practitioner
Practice locations: Green Bay, WI

National Provider Directory

National Provider Directory

Locations

2337 S Ridge Rd
#B
Green Bay, WI 54304
Phone (920) 497-8378

2337 S Ridge Rd
Ste B
Green Bay, WI 54304

Practitioners & affiliated clinicians

Practitioners 1

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": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1720268808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2337 S RIDGE RD",
            "address_2": "SUITE B",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543045857",
            "telephone_number": "922-049-7837",
            "fax_number": "920-498-8368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2337 S RIDGE RD",
            "address_2": "SUITE B",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543045857",
            "telephone_number": "922-049-7837",
            "fax_number": "920-498-8368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEST CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-06",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "KREBSBACH",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "920-497-8378",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3966-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; 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.