Unknown Individual – Chiropractor, NPI 1689775249

Unknown Individual is a healthcare provider. based in West allis, Wisconsin. specializing in Chiropractor. They hold a License No. 3259-012 (WI). The NPI Number for Unknown Individual is 1689775249

Main info

Organization
Inactive
31 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1689775249
Phone
(414) 258-9777
Address
10025 W GREENFIELD AVE STE 100
Deactivation Date
8 January 2026

Doctor Profile

Medical School Name
NORTHWESTERN COLLEGE OF CHIROPRACTIC
Secondary Phone
2622243665
Graduation Year
1995 (31 years ago)
PAC ID
5193815975
Group Practice PAC ID
5294825063
Professional Enrollment ID
I20071217000556
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 10025 W GREENFIELD AVE STE 100

    WEST ALLIS, WI 532143957

    Phone: (414) 258-9777

    Fax: (143) 327-0988

    Type: Location

  • 2200, North Mayfair Road, Fisher Parkway, Wauwatosa, Milwaukee County, Wisconsin, 53226, United States

    SUITE 200

    WAUWATOSA, WI 532262252

    Phone: (414) 258-9511

    Fax: (414) 607-3948

    Type: Mailing

  • 10025, West Greenfield Avenue, Conrad Gardens, West Allis, Milwaukee County, Wisconsin, 53214, United States

    WEST ALLIS, WI 532143907

    Phone: (414) 292-3499

    Fax: (414) 292-3494

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
98941Chiropractic manipulative treatment, 3-4 spinal regions16318$0
View full utilization report →

Insurance plans in this area (ZIP 53214)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5294825063View full group profile
NameSpecialtyState
C H I R O P R A C T I CWI
Physical Therapist In Private PracticeWI
-WI
C H I R O P R A C T I CWI
C H I R O P R A C T I CWI

Reviews

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1689775249 in the public NPI dataset.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Chiropractor in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is West Allis, Wisconsin in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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