NPIMap

Organization Active NPI

Quality Chiropractic & Stress Reduction Center, S.C.

  • Clinic/Center
  • Green Bay, WI
National Provider Identifier
1922138403
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
2402 Issued in WI
Legal business name
QUALITY CHIROPRACTIC & STRESS REDUCTION CENTER, S.C.
Practice address
1203 S Military Ave
Green Bay, WI 54304-2120
Phone
(920) 499-4575
Fax
(920) 499-9607
NPI assigned
Mar 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Paul J Cibula, D.C.
Title
President
Phone
(920) 499-4575

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 2402 WI Primary

Addresses

Primary practice location

1203 S Military Ave
Green Bay, WI 54304-2120

Mailing address

1203 S Military Ave
Green Bay, WI 54304-2120
Phone (920) 499-4575

Other identifiers 1

IdentifierTypeStateIssuer
38848300MedicaidWI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922138403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 S MILITARY AVE",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543042120",
            "telephone_number": "920-499-4575",
            "fax_number": "920-499-9607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 S MILITARY AVE",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543042120",
            "telephone_number": "920-499-4575",
            "fax_number": "920-499-9607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY CHIROPRACTIC & STRESS REDUCTION CENTER, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CIBULA",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-499-4575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WI",
            "license": "2402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38848300",
            "state": "WI"
        }
    ],
    "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 Aug 22, 2020; 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.