Organization Active NPI

Chiropractic Health and Pain Institute LLC

  • Chiropractor
  • Green Bay, WI
National Provider Identifier
1912716341
Registry record updated Dec 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CHIROPRACTIC HEALTH AND PAIN INSTITUTE LLC
Practice address
3221 Voyager Dr
Green Bay, WI 54311-8349
Phone
(906) 399-5636
NPI assigned
Dec 31, 2024
Last updated
Dec 31, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2024

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

Authorized official

Name
Taylor Miller, DCNPI 1639780695
Title
Coo
Phone
(906) 399-5636

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

3221 Voyager Dr
Green Bay, WI 54311-8349

Mailing address

3221 Voyager Dr
Green Bay, WI 54311-8349
Phone (906) 399-5636

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250922001042 WI Part B Supplier - Clinic/Group Practice 3678077690 Receives reassigned benefits from 5 practitioners
Practice locations: Green Bay, WI

National Provider Directory

National Provider Directory

Locations

3221 Voyager Dr
Green Bay, WI 54311
Phone (906) 399-5636

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1735603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735603200000",
    "number": "1912716341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3221 VOYAGER DR",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543118349",
            "telephone_number": "906-399-5636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3221 VOYAGER DR",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543118349",
            "telephone_number": "906-399-5636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC HEALTH AND PAIN INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-31",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "906-399-5636",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2024; 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.