NPIMap

Organization Active NPI

Oconnor Chiropractic Office, S.C.

  • Chiropractor
  • Wisconsin Rapids, WI
National Provider Identifier
1972797876
Registry record updated Dec 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1403-012 Issued in WI
Legal business name
OCONNOR CHIROPRACTIC OFFICE, S.C.
Practice address
4777 8TH St S
Suite a
Wisconsin Rapids, WI 54494-7858
Phone
(715) 424-1880
Fax
(715) 424-2528
NPI assigned
Sep 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2011

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

Authorized official

Name
Patti Jo O'Connor
Title
Office Manager
Phone
(715) 424-1880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1403-012 WI Primary

Addresses

Primary practice location

4777 8TH St S
Suite a
Wisconsin Rapids, WI 54494-7858

Mailing address

4777 8TH St S
Suite a
Wisconsin Rapids, WI 54494-7858
Phone (715) 424-1880

National Provider Directory

National Provider Directory

Locations

4777 8th St S
Ste A
Wisconsin Rapids, WI 54494
Phone (715) 424-1880

4777 8th St S
Wisconsin Rapids, WI 54494
Phone (715) 424-1880

NPI Registry JSON

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324944000000",
    "number": "1972797876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4777 8TH ST S",
            "address_2": "SUITE A",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544947858",
            "telephone_number": "715-424-1880",
            "fax_number": "715-424-2528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4777 8TH ST S",
            "address_2": "SUITE A",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544947858",
            "telephone_number": "715-424-1880",
            "fax_number": "715-424-2528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCONNOR CHIROPRACTIC OFFICE, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-04",
        "last_updated": "2011-12-27",
        "status": "A",
        "authorized_official_last_name": "O'CONNOR",
        "authorized_official_first_name": "PATTI",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "715-424-1880"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "1403-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wisconsin Rapids, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2011; 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.