Active NPI
Chiropractic Care Center - Racine SC
- Chiropractor
- Racine, WI
National Provider Identifier
1760632525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2858-012
- Legal business name
- CHIROPRACTIC CARE CENTER - RACINE SC
- Practice address
- 6218 Washington Ave Ste a
Racine, WI 53406-3916 - Phone
- (262) 321-0208
- Fax
- (262) 321-0210
- NPI assigned
- Sep 29, 2008
- 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. Timothy E. Okland, D.C.
- Title
- Owner/President
- Phone
- (262) 321-0208
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2858-012 | WI | Primary |
Addresses
Primary practice location
6218 Washington Ave Ste a
Racine, WI 53406-3916
Mailing address
6218 Washington Ave Ste a
Racine, WI 53406-3916
Phone (262) 321-0208
National Provider Directory
National Provider DirectoryLocations
6218 Washington Ave
Ste A
Mount Pleasant, WI 53406
Phone (262) 321-0208
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222646400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1222646400000",
"number": "1760632525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6218 WASHINGTON AVE STE A",
"city": "RACINE",
"state": "WI",
"postal_code": "534063916",
"telephone_number": "262-321-0208",
"fax_number": "262-321-0210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6218 WASHINGTON AVE STE A",
"city": "RACINE",
"state": "WI",
"postal_code": "534063916",
"telephone_number": "262-321-0208",
"fax_number": "262-321-0210"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHIROPRACTIC CARE CENTER - RACINE SC",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-29",
"last_updated": "2008-09-29",
"status": "A",
"authorized_official_last_name": "OKLAND",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "262-321-0208",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "WI",
"license": "2858-012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Racine, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.