Organization Active NPI

Cornerstone Chiropractic SC

  • Chiropractor
  • Green Bay, WI
National Provider Identifier
1730409111
Registry record updated Jun 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4234012 Issued in WI
Legal business name
CORNERSTONE CHIROPRACTIC SC
Practice address
2763 S Oneida St
Green Bay, WI 54304-5750
Phone
(920) 731-3255
Fax
(920) 731-3357
NPI assigned
Jun 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2010

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

Authorized official

Name
Mr. John W. Binsfeld, D.C.NPI 1194815241
Title
Owner/Manager
Phone
(920) 731-3255

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 4234012 WI Primary

Addresses

Primary practice location

2763 S Oneida St
Green Bay, WI 54304-5750

Mailing address

2763 S Oneida St
Green Bay, WI 54304-5750
Phone (920) 731-3255

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110203000156 WI Part B Supplier - Clinic/Group Practice 8224218508 Receives reassigned benefits from 1 practitioner
Practice locations: Green Bay, WI

National Provider Directory

National Provider Directory

Locations

2763 S Oneida St
Green Bay, WI 54304
Phone (920) 731-3255

2763 S Oneida St
Ste 102
Green Bay, WI 54304
Phone (920) 540-2344

Practitioners & affiliated clinicians

Practitioners 5

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": "1275955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275955200000",
    "number": "1730409111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2763 S ONEIDA ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543045750",
            "telephone_number": "920-731-3255",
            "fax_number": "920-731-3357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2763 S ONEIDA ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543045750",
            "telephone_number": "920-731-3255",
            "fax_number": "920-731-3357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE CHIROPRACTIC SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-08",
        "last_updated": "2010-06-08",
        "status": "A",
        "authorized_official_last_name": "BINSFELD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "920-731-3255",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4234012",
            "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 Jun 8, 2010; 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.