Organization Active NPI

Reineking Chiropractic LLC

  • Chiropractor
  • Manitowoc, WI
National Provider Identifier
1962641845
Registry record updated Feb 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4456-012 Issued in WI
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

Updated by the provider on Feb 17, 2009

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.