MR. KEVIN P GROTH (NPI# 1255350542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255350542 |
| Entity Type | Individual |
| Full Name | MR. KEVIN P GROTH |
| Credential | DC |
| Practice Address |
1540 Heritage Blvd Suite 203 West Salem WI 54669 |
| Mailing Address |
1540 Heritage Blvd., Suite 203 West Salem WI 54669 |
| Practice Telephone | 6087863670 |
| Practice Fax Number | 6087863672 |
| Mailing Telephone | 6087863670 |
| Mailing Fax Number | 6087863672 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2015-10-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 4109-012 | WI | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | MEDICARE RAILROAD | P00600195 | 01 |
| WI | 38959600 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699860734 | Kevin E. Groth | Dentist | 2915 S Brentwood Blvd, Saint Louis, MO 63144-2713 | 2006-10-04 |
| 1730526211 | Kevin Dean Groth | Dentist | 32100 Telegraph Rd, Suite 195, Bingham Farms, MI 48025-2452 | 2013-05-24 |
| Street Address |
1540 HERITAGE BLVD SUITE 203 |
| City | WEST SALEM |
| State | WI |
| Zip Code | 54669 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043685316 | Groth Chiropractic Clinc Inc | Chiropractor | 1540 Heritage Blvd, Suite 203, West Salem, WI 54669-1417 | 2015-12-11 |
| 1295987220 | Cynthia Marie Teske | Physical Therapist | 1540 Heritage Blvd, West Salem, WI 54669-1417 | 2008-10-22 |
| 1992813117 | Myra Marie Burkhardt | Physical Therapist | 1540 Heritage Blvd, Suite 101a, West Salem, WI 54669-1417 | 2006-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023643699 | County of La Crosse | Custodial Care Facility | 994 Garland St E, West Salem, WI 54669 | 2020-03-04 |
| 1235763053 | County of La Crosse | Custodial Care Facility | 848 Garland St E, West Salem, WI 54669 | 2020-03-02 |
| 1750915575 | County of La Crosse | Custodial Care Facility | 856 Garland St E, West Salem, WI 54669 | 2020-03-02 |
| 1265066096 | County of La Crosse | Custodial Care Facility | 998 Garland St E, West Salem, WI 54669 | 2020-03-02 |
| 1912470113 | Erin Gleason | Music Therapist | 806 N. Mill St., West Salem, WI 54669 | 2019-01-10 |
| 1124464854 | Andrea Jayne Hatleli | Contractor | 860 N. Mill St., Suite #2, West Salem, WI 54669 | 2013-05-21 |
| 1033424403 | Sara Smith | Dentist | 201 N Leonard St, Suite 101, West Salem, WI 54669 | 2010-08-10 |
| 1073839114 | Community Health Pharmacy LLC | Pharmacy | 880 N. Mill St., Suite 101, West Salem, WI 54669 | 2010-04-14 |
| 1063024834 | Erin Shea Vanhandel | Speech-Language Pathologist | 713 Leonard St N, West Salem, WI 54669 | 2020-08-21 |
| 1760024186 | Claire S Collingwood | Music Therapist | 860 Mill St N, Ste 2, West Salem, WI 54669 | 2019-10-17 |
| Find all providers in zip 54669 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427338334 | Kyle David Boland | Chiropractor | 920 W City Highway 16, Suite A, West Salem, WI 54669-1951 | 2011-08-23 |
| 1629251160 | Tenniswood Family Chiropractic S.c. | Chiropractor | 1537 Heritage Blvd, 1537 Heritage Blvd, West Salem, WI 54669-9404 | 2007-12-06 |
| 1952301467 | Denise Lynn Jones | Chiropractor | 149 S Leonard St, West Salem, WI 54669-1620 | 2005-07-26 |
| 1043685316 | Groth Chiropractic Clinc Inc | Chiropractor | 1540 Heritage Blvd, Suite 203, West Salem, WI 54669-1417 | 2015-12-11 |
| 1821427774 | Erica Boland | Chiropractor | 920 W City Highway 16, Suite A, West Salem, WI 54669-1951 | 2013-11-01 |
| 1407196298 | Coulee Health LLC | Chiropractor | 920 W City Highway 16, Suite A, West Salem, WI 54669-1951 | 2013-02-15 |
| 1992996318 | Jones Chiropractic LLC | Chiropractor | 149 S Leonard St, West Salem, WI 54669-1620 | 2007-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518567668 | Zachary Arnold Wickert | Chiropractor | N144w6220 Pioneer Rd, Cedarburg, WI 53012-2723 | 2020-10-28 |
| 1215537501 | Seek Chiropractic LLC | Chiropractor | 405 S Farwell St Ste 21, Eau Claire, WI 54701-2701 | 2020-10-27 |
| 1043819824 | Courtney Helen Slaby | Chiropractor | 559 Braund St Ste 3, Onalaska, WI 54650-8659 | 2020-10-22 |
| 1548869423 | Journey Chiropractic LLC | Chiropractor | 101 E Sadd St, North Prairie, WI 53153-9775 | 2020-10-21 |
| 1154929909 | Water City Care Mission, Inc. | Chiropractor | 449 High Ave., Oshkosh, WI 54901-4708 | 2020-10-14 |
| 1366049793 | Phoenix Chiropractic and Wellness, LLC | Chiropractor | 250 N Green Bay Rd Unit D, Neenah, WI 54956-2285 | 2020-10-08 |
| 1598371668 | Michael Allen Markowski | Chiropractor | 1632 N 18th St # 1, Manitowoc, WI 54220-1858 | 2020-09-23 |
| 1801408687 | Chiro One Wellness Center of Pleasant Prairie LLC | Chiropractor | 9755 76th St Ste 730, Pleasant Prairie, WI 53158-1925 | 2020-08-21 |
| 1972115186 | Shelby Chapelle | Chiropractor | 1711 Green Bay Rd Ste C, Kenosha, WI 53144-1209 | 2020-08-19 |
| 1659981801 | Reince Chiropractic LLC | Chiropractor | 13382 Velp Ave Ste A, Suamico, WI 54313-8191 | 2020-08-03 |
| Find all providers with the same taxonomy | ||||
| City | WEST SALEM |
| Zip Code | 54669 |
Please comment or provide details below to improve the information on MR. KEVIN P GROTH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.