NPIMap

Organization Active NPI

Maritime Chiropractic LLC

Doing business as The Chiropractic Advantage

  • Chiropractor
  • Manitowoc, WI
National Provider Identifier
1891490496
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MARITIME CHIROPRACTIC LLC
Doing business as
The Chiropractic Advantage
Practice address
210 E Reed Ave
Manitowoc, WI 54220-2121
Phone
(920) 682-1111
NPI assigned
Apr 3, 2023
Last updated
Apr 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Authorized official

Name
Brent A Buss, DCNPI 1750662219
Title
Doctor/Member/Owner
Phone
(920) 997-9740

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 Primary

Addresses

Primary practice location

210 E Reed Ave
Manitowoc, WI 54220-2121

Mailing address

645 W Ridgeview Dr
Appleton, WI 54911-1254
Phone (920) 997-9740

Other names 1

  • The Chiropractic Advantage Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230706002623 WI Part B Supplier - Clinic/Group Practice 0648639856 Receives reassigned benefits from 4 practitioners
Practice locations: Manitowoc, WI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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": "1680480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745798400000",
    "number": "1891490496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 W RIDGEVIEW DR",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549111254",
            "telephone_number": "920-997-9740",
            "fax_number": "920-997-9748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E REED AVE",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542202121",
            "telephone_number": "920-682-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARITIME CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-03",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A",
        "authorized_official_last_name": "BUSS",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DOCTOR/MEMBER/OWNER",
        "authorized_official_telephone_number": "920-997-9740",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Chiropractic Advantage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manitowoc, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; 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.