Active NPI
Reineking Chiropractic LLC
- Chiropractor
- Manitowoc, WI
National Provider Identifier
1962641845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4456-012
- Legal business name
- REINEKING CHIROPRACTIC LLC
- Practice address
- 2210 S 42ND St Apt 10
Manitowoc, WI 54220-8624 - Phone
- (920) 733-9999
- Fax
- (920) 733-9998
- NPI assigned
- Feb 17, 2009
- 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. Benjamin Richard Reineking, D.C.
- Title
- Owner,
- Phone
- (920) 733-9999
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4456-012 | WI | Primary |
Addresses
Primary practice location
2210 S 42ND St Apt 10
Manitowoc, WI 54220-8624
Mailing address
2210 S 42ND St Apt 10
Manitowoc, WI 54220-8624
Phone (920) 733-9999
National Provider Directory
National Provider DirectoryLocations
1324 E Fremont St
Appleton, WI 54915
Phone (920) 268-9834
1314 W College Ave
Ste 6
Appleton, WI 54914
Phone (920) 733-9999
2500 E Enterprise Ave
Ste A
Appleton, WI 54913
Phone (920) 268-9834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234828800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1234828800000",
"number": "1962641845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2210 S 42ND ST APT 10",
"city": "MANITOWOC",
"state": "WI",
"postal_code": "542208624",
"telephone_number": "920-733-9999",
"fax_number": "920-733-9998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2210 S 42ND ST APT 10",
"city": "MANITOWOC",
"state": "WI",
"postal_code": "542208624",
"telephone_number": "920-733-9999",
"fax_number": "920-733-9998"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REINEKING CHIROPRACTIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-17",
"last_updated": "2009-02-17",
"status": "A",
"authorized_official_last_name": "REINEKING",
"authorized_official_first_name": "BENJAMIN",
"authorized_official_middle_name": "RICHARD",
"authorized_official_title_or_position": "OWNER,",
"authorized_official_telephone_number": "920-733-9999",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "WI",
"license": "4456-012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manitowoc, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.