NPIMap

Organization Active NPI

Belville Fletcher Chiropractic Office SC

  • Chiropractor
  • Oshkosh, WI
National Provider Identifier
1982829735
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BELVILLE FLETCHER CHIROPRACTIC OFFICE SC
Practice address
440 N Koeller St
Oshkosh, WI 54902-4111
Phone
(920) 233-2828
Fax
(920) 232-2829
NPI assigned
Apr 16, 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. Kent L. Belville, DCNPI 1700801446
Title
Co-President
Phone
(920) 233-2828

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X WI Primary

Addresses

Primary practice location

440 N Koeller St
Oshkosh, WI 54902-4111

Mailing address

PO Box 2525
Oshkosh, WI 54903-2525
Phone (920) 233-2828

Other identifiers 1

IdentifierTypeStateIssuer
38888100MedicaidWI

National Provider Directory

National Provider Directory

Locations

1860 Jackson St
Oshkosh, WI 54901
Phone (920) 426-0699

380 S Koeller St
Oshkosh, WI 54902
Phone (920) 233-2828

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982829735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2525",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549032525",
            "telephone_number": "920-233-2828",
            "fax_number": "920-232-2928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 N KOELLER ST",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549024111",
            "telephone_number": "920-233-2828",
            "fax_number": "920-232-2829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELVILLE FLETCHER CHIROPRACTIC OFFICE SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BELVILLE",
        "authorized_official_first_name": "KENT",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CO-PRESIDENT",
        "authorized_official_telephone_number": "920-233-2828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38888100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oshkosh, 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.