NPIMap

Organization Active NPI

Milwaukee Spine and Joint Center

  • Clinic/Center
  • Milwaukee, WI
National Provider Identifier
1821333550
Registry record updated Dec 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
4264-012 Issued in WI
Legal business name
MILWAUKEE SPINE AND JOINT CENTER
Practice address
1631 W Lincoln Ave
Milwaukee, WI 53215-2637
Phone
(414) 643-9000
Fax
(414) 643-9004
NPI assigned
Dec 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2012

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

Authorized official

Name
Dr. Kelly Worth, D.C.
Title
Chiropractor-Clinic Director
Phone
(414) 643-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 4264-012 WI Primary

Addresses

Primary practice location

1631 W Lincoln Ave
Milwaukee, WI 53215-2637

Mailing address

1631 W Lincoln Ave
Milwaukee, WI 53215-2637
Phone (414) 643-9000

National Provider Directory

National Provider Directory

Locations

1631 W Lincoln Ave
Milwaukee, WI 53215
Phone (414) 643-9000

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": "1354752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354752000000",
    "number": "1821333550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1631 W LINCOLN AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532152637",
            "telephone_number": "414-643-9000",
            "fax_number": "414-643-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 W LINCOLN AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532152637",
            "telephone_number": "414-643-9000",
            "fax_number": "414-643-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILWAUKEE SPINE AND JOINT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-06",
        "last_updated": "2012-12-06",
        "status": "A",
        "authorized_official_last_name": "WORTH",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "CHIROPRACTOR-CLINIC DIRECTOR",
        "authorized_official_telephone_number": "414-643-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WI",
            "license": "4264-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; 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.