Active NPI
Swenson Chiropractic S.C.
- Chiropractor
- Appleton, WI
National Provider Identifier
1750460820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2573
- Legal business name
- SWENSON CHIROPRACTIC S.C.
- Practice address
- 1414 N Richmond St
Appleton, WI 54911-3550 - Phone
- (920) 954-6465
- Fax
- (920) 954-8616
- NPI assigned
- Nov 2, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert Francis Swenson, D.C.
- Title
- President/Owner
- Phone
- (920) 954-6465
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2573 | WI | Primary |
Addresses
Primary practice location
1414 N Richmond St
Appleton, WI 54911-3550
Mailing address
1414 N Richmond St
Appleton, WI 54911-3550
Phone (920) 954-6465
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38871300 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1414 N Richmond St
Appleton, WI 54911
Phone (920) 954-6465
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.
-
- Chiropractor
- Appleton, WI
- NPI 1154464386
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1750460820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1414 N RICHMOND ST",
"city": "APPLETON",
"state": "WI",
"postal_code": "549113550",
"telephone_number": "920-954-6465",
"fax_number": "920-954-8616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1414 N RICHMOND ST",
"city": "APPLETON",
"state": "WI",
"postal_code": "549113550",
"telephone_number": "920-954-6465",
"fax_number": "920-954-8616"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SWENSON CHIROPRACTIC S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-02",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SWENSON",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "FRANCIS",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "920-954-6465",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "WI",
"license": "2573",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38871300",
"state": "WI"
}
],
"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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.