Kumlien Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4634-12 Issued in WI

Legal business name

KUMLIEN CHIROPRACTIC LLC

Practice address

204 1/2 2ND Ave East
Osceola, WI 54020-0507

Phone

(715) 294-4224

NPI assigned

Nov 1, 2011

Last updated

Nov 1, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gregory Roger Kumlien, D.C.NPI 1780905943

Title

Owner

Phone

(715) 294-4224

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

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.

• Gregory Roger Kumlien, D.C.

  • Chiropractor
  • Osceola, WI
  • NPI 1780905943
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1320105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320105600000",
    "number": "1942586276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 507",
            "address_2": "204 1/2 2ND AVE EAST",
            "city": "OSCEOLA",
            "state": "WI",
            "postal_code": "540200507",
            "telephone_number": "715-294-4224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 1/2 2ND AVE EAST",
            "city": "OSCEOLA",
            "state": "WI",
            "postal_code": "540200507",
            "telephone_number": "715-294-4224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUMLIEN CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-01",
        "last_updated": "2011-11-01",
        "status": "A",
        "authorized_official_last_name": "KUMLIEN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "ROGER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-294-4224",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4634-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Michelle Jones, MS, CFY-SLP
• Journey Points Therapy Services
• Samantha Gail Kath, MSN, FNP-BC
• Rosemary Kephart, COTA
• Tawnya Jo Koenig, RD
• Gregory Roger Kumlien, D.C.
• Hannah Kunkel
• Ladd Memorial Hospital (Osceola Medical Center)
• Ladd Memorial Hospital (Osceola Clinic Pharmacy)
• Ladd Memorial Hospital (Osceola Medical Center)

• Chiropractor in Osceola, WI
• Providers in Osceola, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; 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.