KEWAUNEE CHIROPRACTIC WORKS LLC
NPI 1063618502
Chiropractor in Kewaunee, WI

NPI Status: Active since June 22, 2007

Contact Information

224 ELLIS ST
KEWAUNEE, WI
ZIP 54216
Phone: (920) 388-0285
Fax: (920) 388-0291

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  • Organization
  • Chiropractor
  • Accepts Insurance
  • CLIA Number: 52D2163048
  • CLIA Cert. Type: Other - COUNTY JAIL
  • CLIA Exp. Date: 03-05-2027

About KEWAUNEE CHIROPRACTIC WORKS LLC

This page provides the complete NPI Profile along with additional information for Kewaunee Chiropractic Works Llc, a provider established in Kewaunee, Wisconsin operating as a Chiropractor. The healthcare provider is registered in the NPI registry with number 1063618502 assigned on June 2007. The practitioner's primary taxonomy code is 111N00000X with license number 3480 (WI). The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Reyne J Peters Dc (Chiropractor)

NPI
1063618502
Provider Name
KEWAUNEE CHIROPRACTIC WORKS LLC
Entity Type
Organization
Location Address
224 ELLIS ST KEWAUNEE, WI 54216
Location Phone
(920) 388-0285
Location Fax
(920) 388-0291
Mailing Address
224 ELLIS ST KEWAUNEE, WI 54216
Mailing Phone
(920) 388-0285
Mailing Fax
(920) 388-0291
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-22-2007
Last Update Date
08-01-2024
Code Navigator

A chiropractor like Kewaunee Chiropractic Works Llc helps patients with problems of the neuromusculoskeletal system, which includes nerves, bones, muscles, ligaments, and tendons. Chiropractors use spinal adjustments and manipulation, as well as other clinical interventions, to manage health issues such as back and neck pain. Some chiropractors apply procedures like massage therapy, rehabilitative exercise, ultrasound and spinal adjustments and manipulation. A chiropractor focuses on the patients overall health and might refer patients to other healthcare professionals if necessary.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Chiropractor

Taxonomy Code
111N00000X
Type
Chiropractic Providers
License No.
3480
License State
WI
Taxonomy Description
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
  • Anthem Bronze Preferred/Broad HSA (+ Incentives) - POS
  • Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - POS
  • Anthem Silver Preferred/Broad 4000 ($0 PCP Visits + $0 Select Drugs + Incentives) - POS
  • Anthem Silver Preferred/Broad 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. REYNE J PETERS DC

Authorized Official Title
CHIROPRACTOR
Authorized Official Phone
(920) 388-0285

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
52D2163048
Facility Type
Other - COUNTY JAIL
Certificate Effective Date
March 06, 2025
Certificate Expiration Date
March 05, 2027
Laboratory Director
MR. CHRIS VANEREM
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Kewaunee Chiropractic Works Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for KEWAUNEE CHIROPRACTIC WORKS LLC

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1063618502, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
3
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
1
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
5
Unchanged
Pos 9
0
Doubled → 0
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 6 → 12 → 3 8 → 16 → 7 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 2 + 3 + 1 + 2 + 1 + 1 + 6 + 5 + 0 + 24 = 48

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 48 is 50. The difference is the calculated check digit.

50 - 48 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1063618502.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Chiropractor
224 ELLIS ST
KEWAUNEE, WI 54216

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063618502, enumerated as an "organization" on June 22, 2007.

The provider is located at 224 ELLIS ST KEWAUNEE, WI 54216 and the phone number is (920) 388-0285.

Chiropractor with taxonomy code 111N00000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. Please consult your insurance carrier or call the provider to verify.