PERFORMANCE CHIROPRACTIC CENTER, S.C.
NPI 1649411703
Chiropractor in Wauwatosa, WI

Active since March 18, 2009
11430 W BLUEMOUND RD STE 203, WAUWATOSA, WI 53226(414) 426-9677 Get Directions Write a Review

NPPES record last updated: March 18, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Performance Chiropractic Center, S.c. NPPES

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

PERFORMANCE CHIROPRACTIC CENTER, S.C. (NPI 1649411703) is a healthcare organization registered as a chiropractor in Wauwatosa, Wisconsin and active in the NPI registry since March 2009. The organization lists Jeffrey William Grosskofp, Owner/chiropractor, as its authorized official.

NPPES Registry Identity

NPI1649411703
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NamePERFORMANCE CHIROPRACTIC CENTER, S.C.
Location Address11430 W BLUEMOUND RD STE 203Wauwatosa, WI 53226-4050
Mailing Address11430 W Bluemound Rd Ste 203Wauwatosa, WI 53226-4050 · (414) 426-9677
Organization SubpartNo
Authorized OfficialJeffrey William GrosskofpOwner/chiropractor · (414) 426-9677
Enumeration DateMarch 18, 2009
NPI 1649411703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in WI · 4451-012
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.
11430 W BLUEMOUND RD STE 203, Wauwatosa, WI 53226

Other Identifiers 1

OtherT031020090000051WI · Medicare Application Tracking Id

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

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 Performance Chiropractic Center, S.C.'s NPI number?

The NPI number for Performance Chiropractic Center, S.C. is 1649411703. It was assigned to this organization in the NPPES registry on March 18, 2009.

Where is Performance Chiropractic Center, S.C. located?

Performance Chiropractic Center, S.C. is located at 11430 W Bluemound Rd Ste 203, Wauwatosa, WI 53226. The listed phone number is (414) 426-9677.

What is Performance Chiropractic Center, S.C.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Performance Chiropractic Center, S.C. was last updated on March 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.