Organization Active NPI

Chiropractic First of Delafield LLC

  • Chiropractor
  • Delafield, WI
National Provider Identifier
1831581891
Registry record updated Feb 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4741-12 Issued in WI
Legal business name
CHIROPRACTIC FIRST OF DELAFIELD LLC
Practice address
2728 Hillside Dr
Delafield, WI 53018-2164
Phone
(262) 303-4865
NPI assigned
Feb 28, 2015
Last updated
Feb 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2015

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

Authorized official

Name
Dr. Beau Banton, DC
Title
Doctor of Chiropractic
Phone
(262) 303-4865

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4741-12 WI Primary

Addresses

Primary practice location

2728 Hillside Dr
Delafield, WI 53018-2164

Mailing address

2728 Hillside Dr
Delafield, WI 53018-2164
Phone (262) 303-4865

National Provider Directory

National Provider Directory

Locations

2728 Hillside Dr
Delafield, WI 53018
Phone (262) 303-4252

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1425081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425081600000",
    "number": "1831581891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2728 HILLSIDE DR",
            "city": "DELAFIELD",
            "state": "WI",
            "postal_code": "530182164",
            "telephone_number": "262-303-4865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2728 HILLSIDE DR",
            "city": "DELAFIELD",
            "state": "WI",
            "postal_code": "530182164",
            "telephone_number": "262-303-4865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC FIRST OF DELAFIELD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-28",
        "last_updated": "2015-02-28",
        "status": "A",
        "authorized_official_last_name": "BANTON",
        "authorized_official_first_name": "BEAU",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "262-303-4865",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4741-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delafield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2015; 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.