Michael Chiropractic Center SC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1918012 Issued in WI

Legal business name

MICHAEL CHIROPRACTIC CENTER SC

Practice address

405 N Calhoun Rd
Suite 105
Brookfield, WI 53005

Phone

(262) 785-1233

Fax

(262) 785-1258

NPI assigned

Dec 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mark A Michael, CHIROPRACTORNPI 1467486522

Title

President Michael Chiropractic CNTR

Phone

(262) 785-1233

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark A Michael, DC

  • Chiropractor
  • Brookfield, WI
  • NPI 1467486522
  Medicare reassignment NPD Authorized official
• Jeffrey Verenski, DC

  • Chiropractor
  • Brookfield, WI
  • NPI 1366062135
  NPD

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314748800000",
    "number": "1770644163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 N CALHOUN RD",
            "address_2": "SUITE 105",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "53005",
            "telephone_number": "262-785-1233",
            "fax_number": "262-785-1258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 N CALHOUN RD",
            "address_2": "SUITE 105",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "53005",
            "telephone_number": "262-785-1233",
            "fax_number": "262-785-1258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL CHIROPRACTIC CENTER SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2011-08-31",
        "status": "A",
        "authorized_official_last_name": "MICHAEL",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT MICHAEL CHIROPRACTIC CNTR",
        "authorized_official_telephone_number": "262-785-1233",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "CHIROPRACTOR"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "1918012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT LABOR",
            "identifier": "606473100",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38838100",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPL ID",
            "identifier": "402681",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Metro Milwaukee Anesthesia Associates SC
• Sarah Meuler, PT
• Courtney Meyerhofer, BCBA
• Rachel Colleen Meyers, FNP
• Stacy Ann Miceli
• Michael J. Logan MD, SC
• Mark A Michael, DC
• Anna M Michalkiewicz, RN
• Sophie Michalski
• Angela Irene Michor, NP, MSN

• Chiropractor in Brookfield, WI
• Providers in Brookfield, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2011; 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.

Verify at the official NPI Registry.