West Side Chiropractic Clinic SC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2319 012 Issued in WI

Legal business name

WEST SIDE CHIROPRACTIC CLINIC SC

Practice address

2311 W Mason St
Green Bay, WI 54303-4708

Phone

(920) 494-1613

NPI assigned

Dec 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Michael James Rockstroh, DCNPI 1053472977

Title

President Owner

Phone

(920) 494-1613

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 3

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

• Michael James Rockstroh, D.C.

  • Chiropractor
  • Green Bay, WI
  • NPI 1053472977
  Medicare reassignment NPD Authorized official
• Jason Graetz, D.C.

  • Chiropractor
  • Coleman, WI
  • NPI 1700886629
  NPD (past)
• Mark Gerard Rawlsky, DDS

  • Dentist
  • Green Bay, WI
  • NPI 1639265622
  NPD (past)

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331856000000",
    "number": "1780748459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 W MASON ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543034708",
            "telephone_number": "920-494-1613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 W MASON ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543034708",
            "telephone_number": "920-494-1613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST SIDE CHIROPRACTIC CLINIC SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2012-03-16",
        "status": "A",
        "authorized_official_last_name": "ROCKSTROH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "920-494-1613",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2319 012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38835500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Wescott
• Scott T Weslow, MD
• Katie Weso, LMT
• Matthew Weso, LMT
• Hannah Nicole Wesolowski, M.S., CCC-SLP
• Jared J West
• Jeffery L West, LCSW
• Scott C Westenberg, MD
• Western Racquet & Fitness Club Inc
• Jordan Westfall, LPC-IT

• Chiropractor in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2012; 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.