NPIMap

Organization Active NPI

Chudy Chiropractic Clinic LLC

  • Chiropractor
  • Waukesha, WI
National Provider Identifier
1902340375
Registry record updated Dec 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5223 Issued in WI
Legal business name
CHUDY CHIROPRACTIC CLINIC LLC
Practice address
2304 N Grandview Blvd
Waukesha, WI 53188-1602
Phone
(262) 542-6900
NPI assigned
Dec 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2016

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

Authorized official

Name
Benjamin Louis Chudy, D.C.
Title
Member
Phone
(262) 501-2069

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 5223 WI Primary

Addresses

Primary practice location

2304 N Grandview Blvd
Waukesha, WI 53188-1602

Mailing address

2304 N Grandview Blvd
Waukesha, WI 53188-1602
Phone (262) 542-6900

National Provider Directory

National Provider Directory

Locations

2304 N Grandview Blvd
Waukesha, WI 53188
Phone (262) 542-2553

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": "1480896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482364800000",
    "number": "1902340375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2304 N GRANDVIEW BLVD",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531881602",
            "telephone_number": "262-542-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2304 N GRANDVIEW BLVD",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531881602",
            "telephone_number": "262-542-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHUDY CHIROPRACTIC CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-05",
        "last_updated": "2016-12-22",
        "status": "A",
        "authorized_official_last_name": "CHUDY",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "262-501-2069",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukesha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2016; 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.