NPIMap

Organization Active NPI

Lentscher Brothers LLC

Doing business as Beaver Dam Chiroprctic Clinic

  • Chiropractor
  • Beaver Dam, WI
National Provider Identifier
1932190311
Registry record updated Apr 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1524 Issued in WI
Legal business name
LENTSCHER BROTHERS LLC
Doing business as
Beaver Dam Chiroprctic Clinic
Practice address
250 Corporate Dr.
Beaver Dam, WI 53916
Phone
(920) 887-7156
Fax
(920) 887-7290
NPI assigned
Nov 3, 2005
Last updated
Apr 7, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2016

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

Authorized official

Name
Dr. Jacob Carl Lentscher, DCNPI 1518268440
Title
Doctor Owner
Phone
(920) 887-7156

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 1524 WI Primary

Addresses

Primary practice location

250 Corporate Dr.
Beaver Dam, WI 53916

Mailing address

250 Corporate Dr.
Beaver Dam, WI 53916
Phone (920) 887-7156

Other names 1

  • Beaver Dam Chiroprctic Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160425001579 WI Part B Supplier - Clinic/Group Practice 1254630304 Receives reassigned benefits from 4 practitioners
Practice locations: Beaver Dam, WI

National Provider Directory

National Provider Directory

Locations

250 Corporate Dr
Beaver Dam, WI 53916
Phone (920) 887-6650

Practitioners & affiliated clinicians

Practitioners 4

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": "1130976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459987200000",
    "number": "1932190311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 CORPORATE DR.",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "53916",
            "telephone_number": "920-887-7156",
            "fax_number": "920-887-7290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 CORPORATE DR.",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "53916",
            "telephone_number": "920-887-7156",
            "fax_number": "920-887-7290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LENTSCHER BROTHERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-03",
        "last_updated": "2016-04-07",
        "status": "A",
        "authorized_official_last_name": "LENTSCHER",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "DOCTOR OWNER",
        "authorized_official_telephone_number": "920-887-7156",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "1524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beaver Dam Chiroprctic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beaver Dam, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2016; 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.