Active NPI
Back and Neck Pain Relief Center
- Chiropractor
- Sun Prairie, WI
National Provider Identifier
1922421668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2265-012
- Legal business name
- BACK AND NECK PAIN RELIEF CENTER
- Practice address
- 1223 W Main St
Number 292
Sun Prairie, WI 53590-1942 - Phone
- (608) 373-1563
- NPI assigned
- Jan 31, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gregory Thiry, D.C.
- Title
- President
- Phone
- (608) 373-1563
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2265-012 | WI | Primary |
Addresses
Primary practice location
1223 W Main St
Number 292
Sun Prairie, WI 53590-1942
Mailing address
1223 W Main St
Number 292
Sun Prairie, WI 53590-1942
Phone (608) 373-1563
National Provider Directory
National Provider Directory- Tax ID family
- Back and Neck Pain Relief Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Chiropractor
- Sun Prairie, WI
- NPI 1760809842
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Sun Prairie, WI
- NPI 1205809894
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391126400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1391126400000",
"number": "1922421668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1223 W MAIN ST",
"address_2": "NUMBER 292",
"city": "SUN PRAIRIE",
"state": "WI",
"postal_code": "535901942",
"telephone_number": "608-373-1563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1223 W MAIN ST",
"address_2": "NUMBER 292",
"city": "SUN PRAIRIE",
"state": "WI",
"postal_code": "535901942",
"telephone_number": "608-373-1563"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BACK AND NECK PAIN RELIEF CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-31",
"last_updated": "2014-01-31",
"status": "A",
"authorized_official_last_name": "THIRY",
"authorized_official_first_name": "GREGORY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "608-373-1563",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "WI",
"license": "2265-012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sun Prairie, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.