Active NPI
Kumbalek Chiropractic Center SC
- Chiropractor
- Manitowoc, WI
National Provider Identifier
1972503316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2338
- Legal business name
- KUMBALEK CHIROPRACTIC CENTER SC
- Practice address
- 2510 Washington St
Manitowoc, WI 54220-4858 - Phone
- (920) 683-3800
- Fax
- (920) 683-1230
- NPI assigned
- Jul 28, 2005
- 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
- Kevin J Kumbalek, DC
- Title
- President
- Phone
- (920) 683-3800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2338 | WI | Primary |
Addresses
Primary practice location
2510 Washington St
Manitowoc, WI 54220-4858
Mailing address
2510 Washington St
Manitowoc, WI 54220-4858
Phone (920) 683-3800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38837000 | Medicaid | WI |
National Provider Directory
National Provider DirectoryLocations
2510 Washington St
Manitowoc, WI 54220
Phone (920) 629-6126
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122508800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1972503316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2510 WASHINGTON ST",
"city": "MANITOWOC",
"state": "WI",
"postal_code": "542204858",
"telephone_number": "920-683-3800",
"fax_number": "920-683-1230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2510 WASHINGTON ST",
"city": "MANITOWOC",
"state": "WI",
"postal_code": "542204858",
"telephone_number": "920-683-3800",
"fax_number": "920-683-1230"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KUMBALEK CHIROPRACTIC CENTER SC",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-28",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KUMBALEK",
"authorized_official_first_name": "KEVIN",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "920-683-3800",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "WI",
"license": "2338",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38837000",
"state": "WI"
}
],
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.