SPORTS & FAMILY CHIROPRACTIC CLINIC
NPI 1629063458
Chiropractor in Kenosha, WI

NPI Status: Active since September 19, 2005

Contact Information

6123 GREEN BAY RD
SUITE 140
KENOSHA, WI
ZIP 53142
Phone: (262) 653-9208
Fax: (262) 653-9264

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  • Organization
  • Chiropractor

About SPORTS & FAMILY CHIROPRACTIC CLINIC

This page provides the complete NPI Profile along with additional information for Sports & Family Chiropractic Clinic, a provider established in Kenosha, Wisconsin operating as a Chiropractor. The healthcare provider is registered in the NPI registry with number 1629063458 assigned on September 2005. The practitioner's primary taxonomy code is 111N00000X with license number 3590 (WI). The provider is registered as an organization and their NPI record was last updated 18 years ago. Sports & Family Chiropractic Clinic operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Sports & Family Chiropractic Clinic. The authorized official of this NPI record is Mrs. Michelle Elizabeth Counterman (Business Manager)

NPI
1629063458
Provider Legal Name
DR THOMAS J SOLECKI JR SC
Other Organization Name
SPORTS & FAMILY CHIROPRACTIC CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
6123 GREEN BAY RD SUITE 140 KENOSHA, WI 53142
Location Phone
(262) 653-9208
Location Fax
(262) 653-9264
Mailing Address
PO BOX 158 KENOSHA, WI 53141
Mailing Phone
(262) 925-9000
Mailing Fax
(262) 653-9264
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-19-2005
Last Update Date
09-18-2008
Code Navigator

A chiropractor like Sports & Family Chiropractic Clinic 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.
3590
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1111N00000XChiropractic Providers

Chiropractor

038009230 (IL)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

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

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*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

MRS. MICHELLE ELIZABETH COUNTERMAN

Authorized Official Title
BUSINESS MANAGER
Authorized Official Phone
(262) 925-9000

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
U74341MEDICARE UPIN (02) 
398964451007OTHER (01)BCBS OF WI
000135650MEDICARE ID-TYPE UNSPECIFIED (04)WI 
38910800MEDICAID (05)WI 

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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 1629063458, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

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
6
Unchanged
Pos 3
2
Doubled → 4
Pos 4
9
Unchanged
Pos 5
0
Doubled → 0
Pos 6
6
Unchanged
Pos 7
3
Doubled → 6
Pos 8
4
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
8
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 2 → 4 0 → 0 3 → 6 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 4 + 9 + 0 + 6 + 6 + 4 + 1 + 0 + 24 = 62

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

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1629063458.

Other Providers at the Same Location


The following 12 providers are registered at the same or a nearby location.

Podiatrist (Foot & Ankle Surgery)
6123 GREEN BAY RD, STE 100
KENOSHA, WI 53142
Psychologist (Clinical)
6123 GREEN BAY RD
KENOSHA, WI 53142
Physical Therapist
6123 GREEN BAY RD, SUITE 140
KENOSHA, WI 53142
Clinic/Center
6123 GREEN BAY RD, SUITE 120
KENOSHA, WI 53142
Clinic/Center (Ambulatory Surgical)
6123 GREEN BAY RD, SUITE 100
KENOSHA, WI 53142
Chiropractor
6123 GREEN BAY RD
KENOSHA, WI 53142
Family Medicine
6123 GREEN BAY RD, SUITE 120
KENOSHA, WI 53142
In Home Supportive Care
6123 GREEN BAY RD, SUITE 250
KENOSHA, WI 53142
Internal Medicine
6123 GREEN BAY RD, SUITE 120
KENOSHA, WI 53142
Home Health
6123 GREEN BAY RD, SUITE 230
KENOSHA, WI 53142
Physical Therapist
6123 GREEN BAY RD, STE 140
KENOSHA, WI 53142
Podiatrist (Foot & Ankle Surgery)
6123 GREEN BAY RD, SUITE 100
KENOSHA, WI 53142

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629063458, enumerated as an "organization" on September 19, 2005.

The provider is located at 6123 GREEN BAY RD SUITE 140 KENOSHA, WI 53142 and the phone number is (262) 653-9208.

Chiropractor with taxonomy code 111N00000X.

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