BLACK CREEK CHIROPRACTIC OFFICE LLC
NPI 1730578915
Chiropractor in Black Creek, WI
About Black Creek Chiropractic Office Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLACK CREEK CHIROPRACTIC OFFICE LLC (NPI 1730578915) is a healthcare organization registered as a chiropractor in Black Creek, Wisconsin and active in the NPI registry since January 2015. The organization lists Darrel D Klemp, Sole Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Black Creek Chiropractic Office Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Black Creek Chiropractic Office LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Black Creek Chiropractic Office LLC's NPI number?
The NPI number for Black Creek Chiropractic Office LLC is 1730578915. It was assigned to this organization in the NPPES registry on January 12, 2015.
Where is Black Creek Chiropractic Office LLC located?
Black Creek Chiropractic Office LLC is located at 411 S Main St, Black Creek, WI 54106. The listed phone number is (920) 984-3353.
What is Black Creek Chiropractic Office LLC's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Black Creek Chiropractic Office LLC enrolled in Medicare?
Yes. Black Creek Chiropractic Office LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Black Creek Chiropractic Office LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Black Creek Chiropractic Office LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Black Creek Chiropractic Office LLC was last updated on January 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Black Creek Chiropractic Office Llc · NPI 1730578915
Chiropractor organization in Black Creek, Wisconsin. Organization record, active in the CMS NPPES registry since January 12, 2015.
## Identity
- **NPI:** 1730578915 (Entity type: Organization)
- **Enumerated:** January 12, 2015
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Darrel Klemp, SOLE MEMBER
## Practice location
- **Address:** 411 S MAIN ST, Black Creek, WI 54106-9501
- **Phone:** (920) 984-3353 · **Fax:** (920) 984-3354
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Chiropractic) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 12, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1730578915) · Data from the CMS NPPES public registry.