Organization Active NPI

Family Care Chiropractic Center, Inc.

  • Chiropractor
  • Kenosha, WI
National Provider Identifier
1891990529
Registry record updated Jun 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
FAMILY CARE CHIROPRACTIC CENTER, INC.
Practice address
6320 Sheridan Rd
Kenosha, WI 53143-5026
Phone
(262) 652-8900
NPI assigned
Jun 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2008

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

Authorized official

Name
Dr. Edward W. Ruzga, D.C.
Title
President
Phone
(262) 652-8900

Specialties & licenses 1

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

Addresses

Primary practice location

6320 Sheridan Rd
Kenosha, WI 53143-5026

Mailing address

N2290 Folly LN
Lake Geneva, WI 53147-3838
Phone (262) 249-0217

National Provider Directory

National Provider Directory

Locations

6320 Sheridan Rd
Kenosha, WI 53143
Phone (262) 652-8900

NPI Registry JSON

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212451200000",
    "number": "1891990529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N2290 FOLLY LN",
            "city": "LAKE GENEVA",
            "state": "WI",
            "postal_code": "531473838",
            "telephone_number": "262-249-0217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320 SHERIDAN RD",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531435026",
            "telephone_number": "262-652-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CARE CHIROPRACTIC CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2008-06-03",
        "status": "A",
        "authorized_official_last_name": "RUZGA",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-652-8900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenosha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; 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.