Organization Active NPI

Kerwin Chiropractic, SC

  • Chiropractor
  • Greenfield, WI
National Provider Identifier
1851511653
Registry record updated Apr 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3271-012 Issued in WI
Legal business name
KERWIN CHIROPRACTIC, SC
Practice address
8081 W Layton Ave
Greenfield, WI 53220-3712
Phone
(414) 282-9001
Fax
(414) 282-4140
NPI assigned
Apr 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2010

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

Authorized official

Name
Dr. Kenneth J Kerwin, D.C.NPI 1972671097
Title
Owner
Phone
(414) 282-9001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3271-012 WI Primary

Addresses

Primary practice location

8081 W Layton Ave
Greenfield, WI 53220-3712

Mailing address

8081 W Layton Ave
Greenfield, WI 53220-4527
Phone (414) 282-9001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040427000482 WI Part B Supplier - Clinic/Group Practice 3870580475 Receives reassigned benefits from 1 practitioner
Practice locations: Greenfield, WI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270080000000",
    "number": "1851511653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8081 W LAYTON AVE",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532204527",
            "telephone_number": "414-282-9001",
            "fax_number": "414-282-4140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8081 W LAYTON AVE",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532203712",
            "telephone_number": "414-282-9001",
            "fax_number": "414-282-4140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERWIN CHIROPRACTIC, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2010-04-01",
        "status": "A",
        "authorized_official_last_name": "KERWIN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-282-9001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3271-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2010; 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.