Organization Active NPI

Thiry Family Chiropractic SC

  • Chiropractor
  • Waunakee, WI
National Provider Identifier
1912102963
Registry record updated Dec 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2265 Issued in WI
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2008

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1205809894OtherWINPI
529730OtherWIDEAN CARE

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.