KETTLE MORAINE CHIROPRACTIC CLINIC SC
NPI 1174682553
Chiropractor in West Bend, WI

Active since December 08, 2006
223 W PARADISE DR, WEST BEND, WI 53095(262) 334-1011(262) 338-0306 Get Directions Write a Review

NPPES record last updated: April 24, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kettle Moraine Chiropractic Clinic Sc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KETTLE MORAINE CHIROPRACTIC CLINIC SC (NPI 1174682553) is a healthcare organization registered as a chiropractor in West Bend, Wisconsin and active in the NPI registry since December 2006. The organization lists Robert Scott Gronski, President, as its authorized official.

NPPES Registry Identity

NPI1174682553
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameKETTLE MORAINE CHIROPRACTIC CLINIC SC
Location Address223 W PARADISE DRWest Bend, WI 53095-4903
Mailing Address223 W Paradise DrWest Bend, WI 53095-4903 · (262) 334-1011 · Fax (262) 338-0306
Fax(262) 338-0306
Organization SubpartNo
Authorized OfficialRobert Scott GronskiPresident · (262) 334-1011
Enumeration DateDecember 8, 2006
Last NPPES UpdateApril 24, 2017
NPI 1174682553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in WI · 2539012
Definition
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.
223 W PARADISE DR, West Bend, WI 53095

Other Identifiers 3

Medicare ID-Type Unspecified70394WI
Medicare UPINU20786
Medicaid38863700WI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
223 W PARADISE DR
WEST BEND, WI 53095
Chiropractor
223 W PARADISE DR
WEST BEND, WI 53095
Chiropractor
223 W PARADISE DR
WEST BEND, WI 53095

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kettle Moraine Chiropractic Clinic Sc's NPI number?

The NPI number for Kettle Moraine Chiropractic Clinic Sc is 1174682553. It was assigned to this organization in the NPPES registry on December 8, 2006.

Where is Kettle Moraine Chiropractic Clinic Sc located?

Kettle Moraine Chiropractic Clinic Sc is located at 223 W Paradise Dr, West Bend, WI 53095. The listed phone number is (262) 334-1011.

What is Kettle Moraine Chiropractic Clinic Sc's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

What insurance does Kettle Moraine Chiropractic Clinic Sc accept?

Health plans from HealthPartners and Quartz list Kettle Moraine Chiropractic Clinic Sc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kettle Moraine Chiropractic Clinic Sc was last updated on April 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.