Oak Creek Spine Center LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

OAK CREEK SPINE CENTER LLC

Practice address

2345 W Ryan Rd Ste B
Oak Creek, WI 53154-4348

Phone

(414) 628-1560

NPI assigned

Jan 16, 2024

Organization subpart

No

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

Authorized official

Name

Mohamad Zraik, DCNPI 1457098675

Title

Owner

Phone

(414) 628-1560

Specialties & licenses 1

Addresses

Other names 1

• Oak Creek Chiropractic Center Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 1

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

• Mohamad Ahmad Zraik

  • Chiropractor
  • Oak Creek, WI
  • NPI 1457098675
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1705363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705363200000",
    "number": "1891556098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 W RYAN RD STE B",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531544348",
            "telephone_number": "414-628-1560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 W RYAN RD STE B",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531544348",
            "telephone_number": "414-628-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK CREEK SPINE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-16",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A",
        "authorized_official_last_name": "ZRAIK",
        "authorized_official_first_name": "MOHAMAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-628-1560",
        "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": "Oak Creek Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Oak Creek Medical & Occupational L.L.C.
• Oak Creek Medical & Pccupational, LLC
• Oak Creek Medical Supplies LLC
• Oak Creek Rehabilitation Hospital LLC
• Oak Creek Relief and Wellness SC
• Oak Creek Urgent Care LLC
• Oak Creek-Franklin JT. School District
• Oak Leaf Manor
• Oak Town LLC
• Oakcreek Medical and Occupational

• Chiropractor in Oak Creek, WI
• Providers in Oak Creek, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; 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.