Active NPI
Thiry Family Chiropractic SC
- Chiropractor
- Waunakee, WI
National Provider Identifier
1912102963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2265
- Legal business name
- THIRY FAMILY CHIROPRACTIC SC
- Practice address
- 507 W Main St
Ste C
Waunakee, WI 53597-1114 - Phone
- (608) 849-7775
- NPI assigned
- Jun 19, 2007
- Last updated
- Dec 15, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gregory G Thiry, DC
- Title
- Chiropractor
- Phone
- (608) 849-7775
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2265 | WI | Primary |
Addresses
Primary practice location
507 W Main St
Ste C
Waunakee, WI 53597-1114
Mailing address
507 W Main St
Ste C
Waunakee, WI 53597-1114
Phone (608) 849-7775
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205809894 | Other | WI | NPI |
| 529730 | Other | WI | DEAN CARE |
National Provider Directory
National Provider DirectoryLocations
507 W Main St
Ste C
Waunakee, WI 53597
Phone (608) 849-7775
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182211200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1229299200000",
"number": "1912102963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "507 W MAIN ST",
"address_2": "STE C",
"city": "WAUNAKEE",
"state": "WI",
"postal_code": "535971114",
"telephone_number": "608-849-7775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "507 W MAIN ST",
"address_2": "STE C",
"city": "WAUNAKEE",
"state": "WI",
"postal_code": "535971114",
"telephone_number": "608-849-7775"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THIRY FAMILY CHIROPRACTIC SC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-19",
"last_updated": "2008-12-15",
"status": "A",
"authorized_official_last_name": "THIRY",
"authorized_official_first_name": "GREGORY",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "608-849-7775",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "WI",
"license": "2265",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1205809894",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEAN CARE",
"identifier": "529730",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waunakee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.