Moellendorf Chiropractic Office, LTD.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1869-012 Issued in WI

Legal business name

MOELLENDORF CHIROPRACTIC OFFICE, LTD.

Practice address

1140 Egg Harbor Rd
Sturgeon Bay, WI 54235-1234

Phone

(920) 743-2126

Fax

(920) 743-1145

NPI assigned

Nov 28, 2006

Organization subpart

No

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

Authorized official

Name

Dr. James George Moellendorf, D.C.

Title

President

Phone

(920) 743-2126

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298592000000",
    "number": "1760558191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 EGG HARBOR RD",
            "city": "STURGEON BAY",
            "state": "WI",
            "postal_code": "542351234",
            "telephone_number": "920-743-2126",
            "fax_number": "920-743-1145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 EGG HARBOR RD",
            "city": "STURGEON BAY",
            "state": "WI",
            "postal_code": "542351234",
            "telephone_number": "920-743-2126",
            "fax_number": "920-743-1145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOELLENDORF CHIROPRACTIC OFFICE, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2011-02-25",
        "status": "A",
        "authorized_official_last_name": "MOELLENDORF",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-743-2126",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "1869-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Sturgeon Bay, WI
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2011; 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.