NPIMap

Organization Active NPI

Sheboygan Chiropractic Plus LLC

  • Chiropractor
  • Sheboygan, WI
National Provider Identifier
1740329937
Registry record updated Jan 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3638-012 Issued in WI
Legal business name
SHEBOYGAN CHIROPRACTIC PLUS LLC
Practice address
1028B Indiana Ave
Sheboygan, WI 53081-4913
Phone
(920) 208-7000
Fax
(920) 457-6335
NPI assigned
Feb 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2015

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

Authorized official

Name
Amy M Endru, DC
Title
Chiropractor
Phone
(920) 208-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3638-012 WI Primary

Addresses

Primary practice location

1028B Indiana Ave
Sheboygan, WI 53081-4913

Mailing address

1028B Indiana Ave
Sheboygan, WI 53081-4913
Phone (920) 208-7000

Other identifiers 1

IdentifierTypeStateIssuer
38923000MedicaidWI

Other names 1

  • Endru Family Chiropractic LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

1028 Indiana Ave
Sheboygan, WI 53081
Phone (920) 208-7000

1028B Indiana Ave
Sheboygan, WI 53081
Phone (920) 208-7000

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": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420588800000",
    "number": "1740329937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028B INDIANA AVE",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530814913",
            "telephone_number": "920-208-7000",
            "fax_number": "920-208-7004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028B INDIANA AVE",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530814913",
            "telephone_number": "920-208-7000",
            "fax_number": "920-457-6335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEBOYGAN CHIROPRACTIC PLUS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2015-01-07",
        "status": "A",
        "authorized_official_last_name": "ENDRU",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "920-208-7000",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3638-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38923000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Endru Family Chiropractic LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Sheboygan, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2015; 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.