Spine by Design Chiropractic Center, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4955-12 Issued in WI

Legal business name

SPINE BY DESIGN CHIROPRACTIC CENTER, INC.

Practice address

W188S7830 Racine Ave Ste 100
Muskego, WI 53150-8298

Phone

(262) 349-0845

NPI assigned

Nov 13, 2013

Last updated

Jan 2, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nicholas Andrew Albert, D.C.NPI 1215366240

Title

Owner/Chiropractor

Phone

(262) 349-0845

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 1

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.

• Nicholas Andrew Albert, D.C.

  • Chiropractor
  • Muskego, WI
  • NPI 1215366240
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1384300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388620800000",
    "number": "1821428756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W188S7830 RACINE AVE STE 100",
            "city": "MUSKEGO",
            "state": "WI",
            "postal_code": "531508298",
            "telephone_number": "262-349-0845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W188S7830 RACINE AVE STE 100",
            "city": "MUSKEGO",
            "state": "WI",
            "postal_code": "531508298",
            "telephone_number": "262-349-0845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE BY DESIGN CHIROPRACTIC CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-13",
        "last_updated": "2014-01-02",
        "status": "A",
        "authorized_official_last_name": "ALBERT",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "262-349-0845",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4955-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Faye Soltis-Friesner, LCSW
• Melissa B. Sonchek
• Nisha Soni, DDS
• Mary Ann Sonsalla, M.D.
• Rebecca Kaye Ramazini Sosa, APRN
• James Alan Stepp, RN
• Sydney Stluka
• Madeline Rose Klink Strandberg, M.S., CCC-SLP
• Hannah Elizabeth Tarnow, LMFT, SAC-IT
• Tess Corners Volunteer Fire Dept

• Chiropractor in Muskego, WI
• Providers in Muskego, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2014; 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.