Organization Active NPI

Perdziak Chiropractic Office, S.C.

  • Orthopedic Chiropractor
  • Delafield, WI
National Provider Identifier
1982720868
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
1306-012 Issued in WI
Legal business name
PERDZIAK CHIROPRACTIC OFFICE, S.C.
Practice address
19 Crossroads CT.
Suite 101
Delafield, WI 53018-2035
Phone
(262) 646-2640
Fax
(262) 646-2650
NPI assigned
Mar 22, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Michael Andrew Perdziak, D.C., D.A.B.C.O.
Title
Chiropractor
Phone
(262) 646-2640

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Chiropractor 111NX0800X 1306-012 WI Primary

Addresses

Primary practice location

19 Crossroads CT.
Suite 101
Delafield, WI 53018-2035

Mailing address

19 Crossroads CT.
Suite 101
Delafield, WI 53018-2035
Phone (262) 646-2640

National Provider Directory

National Provider Directory

Locations

19 Crossroads Ct
Ste 101
Delafield, WI 53018
Phone (262) 646-2640

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982720868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 CROSSROADS CT.",
            "address_2": "SUITE 101",
            "city": "DELAFIELD",
            "state": "WI",
            "postal_code": "530182035",
            "telephone_number": "262-646-2640",
            "fax_number": "262-646-2650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 CROSSROADS CT.",
            "address_2": "SUITE 101",
            "city": "DELAFIELD",
            "state": "WI",
            "postal_code": "530182035",
            "telephone_number": "262-646-2640",
            "fax_number": "262-646-2650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERDZIAK CHIROPRACTIC OFFICE, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PERDZIAK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "262-646-2640",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., D.A.B.C.O."
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "WI",
            "license": "1306-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delafield, 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.

Verify at the official NPI Registry.