Active NPI
Orville Ammador Antonio, D.C.
- Chiropractor
- Sturgeon Bay, WI
National Provider Identifier
1992309348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5354-12
- Practice address
- 30 N 18TH Ave Ste 5
Sturgeon Bay, WI 54235-3207 - Phone
- (920) 818-1234
- NPI assigned
- Nov 25, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1034 Tacoma Beach Rd
Sturgeon Bay, WI 54235-1660
30 N 18TH Ave
Suite 5
Sturgeon Bay, WI 54235-3207
Phone (920) 818-1234
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210924001296 | WI | Practitioner - Chiropractic | 5597161174 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Antonio Natural Healing, LLC | Current | Accepting new patients |
Locations
30 N 18th Ave
Ste 5
Sturgeon Bay, WI 54235
Phone (920) 818-1234
253 N 1st Ave
Stop 1H
Sturgeon Bay, WI 54235
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5354-12 | WI | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
30 N 18TH Ave Ste 5
Sturgeon Bay, WI 54235-3207
Mailing address
1034 Tacoma Beach Rd
Sturgeon Bay, WI 54235-1660
Phone (920) 818-1234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 30, 2025.
{
"created_epoch": "1606262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751241600000",
"number": "1992309348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1034 TACOMA BEACH RD",
"city": "STURGEON BAY",
"state": "WI",
"postal_code": "542351660",
"telephone_number": "920-818-1234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 N 18TH AVE STE 5",
"city": "STURGEON BAY",
"state": "WI",
"postal_code": "542353207",
"telephone_number": "920-818-1234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANTONIO",
"first_name": "ORVILLE",
"middle_name": "AMMADOR",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-25",
"last_updated": "2025-06-30",
"certification_date": "2025-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "5354-12",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sturgeon Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.