Organization Active NPI

Nemitz Family Chiropractic LLC

  • Chiropractor
  • Benton, WI
National Provider Identifier
1801186606
Registry record updated Aug 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4619-012 Issued in WI
Legal business name
NEMITZ FAMILY CHIROPRACTIC LLC
Practice address
188 E Main St
Benton, WI 53803
Phone
(608) 759-6152
Fax
(608) 759-6153
NPI assigned
Apr 13, 2011
Last updated
Aug 27, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2018

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

Authorized official

Name
Steffanie R Nemitz, DC
Title
Owner
Phone
(608) 988-6152

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4619-012 WI Primary

Addresses

Primary practice location

188 E Main St
Benton, WI 53803

Mailing address

188 E Main St
Benton, WI 53803-9711
Phone (608) 759-6152

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110531000382 WI Part B Supplier - Clinic/Group Practice 9830376854 Receives reassigned benefits from 2 practitioners
Practice locations: Benton, WI

National Provider Directory

National Provider Directory

Locations

244 Ridge Ave
Ste 107
Benton, WI 53803
Phone (608) 988-6152

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1302652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535328000000",
    "number": "1801186606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 E MAIN ST",
            "city": "BENTON",
            "state": "WI",
            "postal_code": "538039711",
            "telephone_number": "608-759-6152",
            "fax_number": "608-759-6153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 E MAIN ST",
            "city": "BENTON",
            "state": "WI",
            "postal_code": "53803",
            "telephone_number": "608-759-6152",
            "fax_number": "608-759-6153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEMITZ FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-13",
        "last_updated": "2018-08-27",
        "status": "A",
        "authorized_official_last_name": "NEMITZ",
        "authorized_official_first_name": "STEFFANIE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-988-6152",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4619-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Benton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2018; 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.