Organization Active NPI

North Shore Chiropractic, LLC.

  • Chiropractor
  • Mequon, WI
National Provider Identifier
1811056096
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3524012 Issued in WI
Legal business name
NORTH SHORE CHIROPRACTIC, LLC.
Practice address
1516 W Mequon Rd
Suite 202
Mequon, WI 53092-3264
Phone
(262) 478-0033
Fax
(262) 478-0035
NPI assigned
Dec 6, 2006
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
Dr. Kendal Joel Hoard, DC
Title
Managing Member
Phone
(262) 478-0033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3524012 WI Primary

Addresses

Primary practice location

1516 W Mequon Rd
Suite 202
Mequon, WI 53092-3264

Mailing address

1516 W Mequon Rd
Suite 202
Mequon, WI 53092-3264
Phone (262) 478-0033

National Provider Directory

National Provider Directory

Locations

1516 W Mequon Rd
Ste 202
Mequon, WI 53092
Phone (262) 478-0033

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811056096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 W MEQUON RD",
            "address_2": "SUITE 202",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530923264",
            "telephone_number": "262-478-0033",
            "fax_number": "262-478-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 W MEQUON RD",
            "address_2": "SUITE 202",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530923264",
            "telephone_number": "262-478-0033",
            "fax_number": "262-478-0035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE CHIROPRACTIC, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOARD",
        "authorized_official_first_name": "KENDAL",
        "authorized_official_middle_name": "JOEL",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "262-478-0033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3524012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mequon, 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.