Organization Active NPI

Fisher Family Chiropractic, S.C.

  • Chiropractor
  • Mequon, WI
National Provider Identifier
1912266164
Registry record updated May 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4590 Issued in WI
Legal business name
FISHER FAMILY CHIROPRACTIC, S.C.
Practice address
1240 W Ranchito LN
Mequon, WI 53092-6089
Phone
(262) 240-9946
Fax
(262) 240-9947
NPI assigned
May 9, 2012
Last updated
May 9, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2012

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

Authorized official

Name
Dr. Robert Theodore Fisher Jr., D.C.
Title
President
Phone
(906) 869-6401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4590 WI Primary

Addresses

Primary practice location

1240 W Ranchito LN
Mequon, WI 53092-6089

Mailing address

1240 W Ranchito LN
Mequon, WI 53092-6089
Phone (262) 240-9946

National Provider Directory

National Provider Directory

Locations

6028 W Mequon Rd
Ste 200
Mequon, WI 53092
Phone (262) 240-9946

NPI Registry JSON

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

{
    "created_epoch": "1336521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336521600000",
    "number": "1912266164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 W RANCHITO LN",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530926089",
            "telephone_number": "262-240-9946",
            "fax_number": "262-240-9947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 W RANCHITO LN",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530926089",
            "telephone_number": "262-240-9946",
            "fax_number": "262-240-9947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FISHER FAMILY CHIROPRACTIC, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-09",
        "last_updated": "2012-05-09",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "THEODORE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "906-869-6401",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mequon, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2012; 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.