Shifting Tides Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5315-12 Issued in WI

Legal business name

SHIFTING TIDES CHIROPRACTIC LLC

Doing business as

Shifting Tides Chiropractic

Practice address

1403 Appleton Rd
Menasha, WI 54952-1101

Phone

(920) 722-5454

NPI assigned

Jan 5, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Felicia Houk, DCNPI 1205343779

Title

Owner

Phone

(920) 722-5454

Specialties & licenses 1

Addresses

Other names 1

• Shifting Tides Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Felicia Houk, DC

  • Chiropractor
  • Menasha, WI
  • NPI 1205343779
  Medicare reassignment NPD Authorized official
• Roberta Jo Houk, D.C.

  • Chiropractor
  • Menasha, WI
  • NPI 1609927664
  NPD (past)

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

{
    "created_epoch": "1515110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517356800000",
    "number": "1841707312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 APPLETON RD",
            "city": "MENASHA",
            "state": "WI",
            "postal_code": "549521101",
            "telephone_number": "920-722-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 APPLETON RD",
            "city": "MENASHA",
            "state": "WI",
            "postal_code": "549521101",
            "telephone_number": "920-722-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIFTING TIDES CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-05",
        "last_updated": "2018-01-31",
        "status": "A",
        "authorized_official_last_name": "HOUK",
        "authorized_official_first_name": "FELICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-722-5454",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5315-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shifting Tides Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Shifting Tides Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Suzanne T Schulz, PTA
• Sconnie Rides, LLC
• Megan E Sebo, MSW, APSW, SAC-IT
• Willard J Secor Jr., MSW
• See Change Incorporated
• Shopko Stores Operating Co LLC (ShopKo Pharmacy 033)
• Shopko Stores Operating Co. LLC (ShopKo Optical 033)
• Kaylee Siegel, LPC-IT
• Kirsten Alexandra Siemers
• Jessica Sirola, LMSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2018; 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.