PENINSULA CHIROPRACTIC CENTER INC.
NPI 1417145830
Chiropractor in Sturgeon Bay, WI

Active since October 10, 2007
331 KENTUCKY ST, STURGEON BAY, WI 54235(920) 743-6919(920) 746-0619 Get Directions Write a Review

NPPES record last updated: October 10, 2007. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Peninsula Chiropractic Center Inc. NPPES

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

PENINSULA CHIROPRACTIC CENTER INC. (NPI 1417145830) is a healthcare organization registered as a chiropractor in Sturgeon Bay, Wisconsin and active in the NPI registry since October 2007. The organization lists Randal E Arnold, Clinic Director, as its authorized official.

NPPES Registry Identity

NPI1417145830
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NamePENINSULA CHIROPRACTIC CENTER INC.
Location Address331 KENTUCKY STSturgeon Bay, WI 54235-2419
Mailing Address331 Kentucky StSturgeon Bay, WI 54235-2419 · (920) 743-6919 · Fax (920) 746-0619
Fax(920) 746-0619
Organization SubpartNo
Authorized OfficialRandal E ArnoldClinic Director · (920) 743-6919
Enumeration DateOctober 10, 2007
✔ NPI 1417145830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WI · 1763-012
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.
331 KENTUCKY ST, Sturgeon Bay, WI 54235

Other Identifiers 4

Other0003Medicare Provider Identif
Other38783400Medicaid Provider Identif
Other38995000Medicaid Practice Identif
Medicare UPINT61383WI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Peninsula Chiropractic Center Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Peninsula Chiropractic Center Inc., which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Chiropractic
NPI 1770829780
331 KENTUCKY ST
Sturgeon Bay, WI 54235
(920) 743-6919
Same address
Chiropractic
NPI 1649357336
331 KENTUCKY ST
Sturgeon Bay, WI 54235
(920) 743-6919
Same address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Peninsula Chiropractic Center Inc.'s NPI number?

The NPI number for Peninsula Chiropractic Center Inc. is 1417145830. It was assigned to this organization in the NPPES registry on October 10, 2007.

Where is Peninsula Chiropractic Center Inc. located?

Peninsula Chiropractic Center Inc. is located at 331 Kentucky St, Sturgeon Bay, WI 54235. The listed phone number is (920) 743-6919.

What is Peninsula Chiropractic Center Inc.'s specialty?

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

Is Peninsula Chiropractic Center Inc. enrolled in Medicare?

Yes. Peninsula Chiropractic Center Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Peninsula Chiropractic Center Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Peninsula Chiropractic Center Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Peninsula Chiropractic Center Inc. accept?

Health plans from CareSource (Common Ground Healthcare) list Peninsula Chiropractic Center Inc. 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 Peninsula Chiropractic Center Inc. was last updated on October 10, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.