Organization Active NPI

Garvey Chiropractic L.L.C.

  • Health Service Clinic/Center
  • Green Bay, WI
National Provider Identifier
1801004692
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
4305 Issued in WI
Legal business name
GARVEY CHIROPRACTIC L.L.C.
Practice address
110 Packerland Dr
Suite B
Green Bay, WI 54303-4861
Phone
(920) 494-8008
Fax
(920) 494-1844
NPI assigned
May 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Jolene Marie Garvey, D.C.
Title
Managing Member
Phone
(920) 494-8008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 4305 WI Primary

Addresses

Primary practice location

110 Packerland Dr
Suite B
Green Bay, WI 54303-4861

Mailing address

110 Packerland Dr
Suite B
Green Bay, WI 54303-4861
Phone (920) 494-8008

Other identifiers 2

IdentifierTypeStateIssuer
1598983611OtherWIPERSONAL NPI
4305-012OtherWISTATE LICENSE

National Provider Directory

National Provider Directory

Locations

110 Packerland Dr
Ste B
Green Bay, WI 54303
Phone (920) 484-8008

202 W North Water St
New London, WI 54961
Phone (920) 982-6442

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801004692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 PACKERLAND DR",
            "address_2": "SUITE B",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543034861",
            "telephone_number": "920-494-8008",
            "fax_number": "920-494-1844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 PACKERLAND DR",
            "address_2": "SUITE B",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543034861",
            "telephone_number": "920-494-8008",
            "fax_number": "920-494-1844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARVEY CHIROPRACTIC L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GARVEY",
        "authorized_official_first_name": "JOLENE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "920-494-8008",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "WI",
            "license": "4305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1598983611",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "4305-012",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.