Organization Active NPI

Dorn Family Chiropractic LLC

Doing business as Axis Chiropractic

  • Chiropractor
  • Oconomowoc, WI
National Provider Identifier
1922293711
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4053-012 Issued in WI
Legal business name
DORN FAMILY CHIROPRACTIC LLC
Doing business as
Axis Chiropractic
Practice address
W359N5002 Brown St Ste 220a
Oconomowoc, WI 53066-3366
Phone
(262) 203-9036
Fax
(262) 203-9774
NPI assigned
Sep 13, 2007
Last updated
Jan 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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

Authorized official

Name
Dr. Roby C Dorn, DCNPI 1083756167
Title
Owner
Phone
(262) 203-9036

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 4053-012 WI Primary

Addresses

Primary practice location

W359N5002 Brown St Ste 220a
Oconomowoc, WI 53066-3366

Mailing address

W359N5002 Brown St Ste 220a
Oconomowoc, WI 53066-3366
Phone (262) 203-9036

Other identifiers 1

IdentifierTypeStateIssuer
396984426007OtherWIBCBS

Other names 1

  • Axis Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041201000818 WI Part B Supplier - Clinic/Group Practice 8729043716 Receives reassigned benefits from 1 practitioner
Practice locations: Oconomowoc, WI

National Provider Directory

National Provider Directory

Locations

1195 Summit Ave
Ste 500
Oconomowoc, WI 53066
Phone (262) 560-9603

1280 Brown St
Ste K2
Oconomowoc, WI 53066
Phone (262) 203-9036

W359N5002 Brown St
Ste 220A
Oconomowoc, WI 53066
Phone (262) 203-9036

1300 N Summit Ave
Ste 201
Summit, WI 53066
Phone (262) 244-5004

Practitioners & affiliated clinicians

Practitioners 1

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": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767657600000",
    "number": "1922293711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W359N5002 BROWN ST STE 220A",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530663366",
            "telephone_number": "262-203-9036",
            "fax_number": "262-203-9774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W359N5002 BROWN ST STE 220A",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530663366",
            "telephone_number": "262-203-9036",
            "fax_number": "262-203-9774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DORN FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-13",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A",
        "authorized_official_last_name": "DORN",
        "authorized_official_first_name": "ROBY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-203-9036",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4053-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "396984426007",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Axis Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oconomowoc, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; 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.