Organization Active NPI

Durski Chiropractic

  • Chiropractor
  • New Berlin, WI
National Provider Identifier
1912266818
Registry record updated May 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DURSKI CHIROPRACTIC
Practice address
14999 W Beloit Rd
Suite a
New Berlin, WI 53151-7438
Phone
(414) 525-1030
Fax
(414) 525-1070
NPI assigned
May 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2012

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

Authorized official

Name
Dr. Jeffrey N Durski, D.C.S.C.
Title
Owner
Phone
(414) 525-1030

Specialties & licenses 1

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

Addresses

Primary practice location

14999 W Beloit Rd
Suite a
New Berlin, WI 53151-7438

Mailing address

14999 W Beloit Rd
Suite a
New Berlin, WI 53151-7438
Phone (414) 525-1030

Other identifiers 1

IdentifierTypeStateIssuer
1205057312OtherWITYPE 1

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121002000359 WI Part B Supplier - Clinic/Group Practice 5890944102 Receives reassigned benefits from 1 practitioner
Practice locations: New Berlin, WI

National Provider Directory

National Provider Directory

Locations

14999 W Beloit Rd
#A
New Berlin, WI 53151
Phone (414) 525-1030

Practitioners & affiliated clinicians

Practitioners 2

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": "1336694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336694400000",
    "number": "1912266818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14999 W BELOIT RD",
            "address_2": "SUITE A",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531517438",
            "telephone_number": "414-525-1030",
            "fax_number": "414-525-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14999 W BELOIT RD",
            "address_2": "SUITE A",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531517438",
            "telephone_number": "414-525-1030",
            "fax_number": "414-525-1070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DURSKI CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-11",
        "last_updated": "2012-05-11",
        "status": "A",
        "authorized_official_last_name": "DURSKI",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-525-1030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C.S.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1",
            "identifier": "1205057312",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Berlin, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.