Organization Active NPI

Progressive Chiropractic, S.C.

  • Clinic/Center
  • Germantown, WI
National Provider Identifier
1841479094
Registry record updated Oct 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
2428 Issued in WI
Legal business name
PROGRESSIVE CHIROPRACTIC, S.C.
Practice address
N112W15800 Mequon Rd
Germantown, WI 53022-3389
Phone
(262) 251-0340
Fax
(262) 437-1337
NPI assigned
Oct 24, 2007
Last updated
Oct 24, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2007

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

Authorized official

Name
Dr. Victoria Lyn Bowe-Fisher, D.C.NPI 1952464174
Title
Chiropractor
Phone
(262) 251-0340

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 2428 WI Primary

Addresses

Primary practice location

N112W15800 Mequon Rd
Germantown, WI 53022-3389

Mailing address

N112W15800 Mequon Rd
Germantown, WI 53022-3389
Phone (262) 251-0340

Other identifiers 1

IdentifierTypeStateIssuer
2428OtherWISTATE LICENSE

National Provider Directory

National Provider Directory

Locations

W175N11162 Stonewood Dr
Germantown, WI 53022
Phone (262) 250-3060

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": "1193184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193184000000",
    "number": "1841479094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N112W15800 MEQUON RD",
            "city": "GERMANTOWN",
            "state": "WI",
            "postal_code": "530223389",
            "telephone_number": "262-251-0340",
            "fax_number": "262-437-1337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N112W15800 MEQUON RD",
            "city": "GERMANTOWN",
            "state": "WI",
            "postal_code": "530223389",
            "telephone_number": "262-251-0340",
            "fax_number": "262-437-1337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE CHIROPRACTIC, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-24",
        "last_updated": "2007-10-24",
        "status": "A",
        "authorized_official_last_name": "BOWE-FISHER",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "LYN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "262-251-0340",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WI",
            "license": "2428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "2428",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; 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.