NPIMap

Organization Active NPI

Golf Creek Family Chiropractic

  • Health Service Clinic/Center
  • Pewaukee, WI
National Provider Identifier
1740461045
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
3659 Issued in WI
Legal business name
GOLF CREEK FAMILY CHIROPRACTIC
Practice address
2900 Golf Rd
Pewaukee, WI 53072-5449
Phone
(262) 513-7254
Fax
(262) 928-7809
NPI assigned
Nov 15, 2007
Last updated
Nov 15, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2007

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

Authorized official

Name
Dr. Heather Ann King, D.C.
Title
Doctoe
Phone
(262) 513-7254

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 3659 WI Primary

Addresses

Primary practice location

2900 Golf Rd
Pewaukee, WI 53072-5449

Mailing address

2900 Golf Rd
Pewaukee, WI 53072-5449
Phone (262) 513-7254

National Provider Directory

National Provider Directory

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": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1740461045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 GOLF RD",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530725449",
            "telephone_number": "262-513-7254",
            "fax_number": "262-928-7809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 GOLF RD",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530725449",
            "telephone_number": "262-513-7254",
            "fax_number": "262-928-7809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLF CREEK FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DOCTOE",
        "authorized_official_telephone_number": "262-513-7254",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "WI",
            "license": "3659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pewaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; 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.