DR. DANA M DERRICK (NPI# 1730410838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730410838 |
| Entity Type | Individual |
| Full Name | DR. DANA M DERRICK |
| Credential | D.C. |
| Practice Address |
6508 W Lincoln Ave West Allis WI 53219-2045 |
| Practice Telephone | 4143281734 |
| Practice Fax Number | 4143283166 |
| Mailing Telephone | 4143281734 |
| Mailing Fax Number | 4143283166 |
| Enumeration Date | 2010-01-29 |
| Last Update Date | 2018-12-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 4546-012 | WI | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | MEDICARE PTAN | WI2798001 | 01 |
| Street Address |
6508 W LINCOLN AVE |
| City | WEST ALLIS |
| State | WI |
| Zip Code | 53219-2045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972515070 | James Arthur Tacyshyn-roth | Chiropractor | 6508 W Lincoln Ave, West Allis, WI 53219-2045 | 2006-08-13 |
| 1285999524 | Derrick Family Chiropractic LLC | Chiropractor | 6508 W Lincoln Ave, West Allis, WI 53219-2045 | 2012-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588262323 | Tammi T Wisniewski | Hearing Instrument Specialist | 4847 W. Forest Home Avenue, Greenfield, WI 53219 | 2020-10-14 |
| 1174052344 | Adam Blaha | Physical Therapy Assistant | 2622 South 66th Street, Milwaukee, WI 53219 | 2017-06-09 |
| 1700281920 | Mary Beth Menarek | Counselor | 6574 W. Beloit Road, West Allis, WI 53219 | 2014-10-30 |
| 1780959767 | James Stanley Ziolkowski | Electrodiagnostic Medicine | 9330 W. Lincln Ave, West Allis, WI 53219 | 2012-03-09 |
| 1568752707 | Carey M Kromarek | Social Worker | 5757 W. Oklahoma Ave, Suite 203, Milwaukee, WI 53219 | 2011-04-08 |
| 1275834988 | Debra L Felzer | Registered Nurse | 7123 W Stuth Place, West Allis, WI 53219 | 2010-11-11 |
| 1528290327 | Miguel Angel Bautista | Acupuncturist | 4318 W. Foresthowe Ave., Milwaukee, WI 53219 | 2009-08-13 |
| 1629211487 | Ruth Irene Young | Physical Therapy Assistant | 2027 S. 79th Street, West Allis, WI 53219 | 2009-04-09 |
| 1053591818 | Linda St. Louis | Nurse Practitioner | 6030 W. Oklahoma Avenue, Milwaukee, WI 53219 | 2007-11-09 |
| 1811185812 | John Stuart Lanham | Podiatrist | 5720 W Oklahoma Avenue, Milwaukee, WI 53219 | 2007-10-04 |
| Find all providers in zip 53219 | ||||
| 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 |
|---|---|---|---|---|
| 1538300637 | Kenneth Elon Price | Chiropractor | 2723 S 108th St, West Allis, WI 53227-3232 | 2009-03-19 |
| 1235398272 | National Chiropractic, LLC | Chiropractor | 5800 W National Ave, West Allis, WI 53214-3446 | 2008-06-05 |
| 1255510764 | Deveau Chiropractors Inc. | Chiropractor | 11038 W National Ave, West Allis, WI 53227-3106 | 2007-10-31 |
| 1417136482 | West Allis Chiropractic & Rehab.,llc | Chiropractor | 8314 W Lincoln Ave, West Allis, WI 53219-1763 | 2007-10-26 |
| 1871629113 | Russell Mark Sherbondy | Chiropractor | 1370 S 74th St, Ste 101, West Allis, WI 53214-3059 | 2007-02-23 |
| 1609927821 | Bradford C. Nelson | Chiropractor | 9114 W Greenfield Ave, West Allis, WI 53214-2809 | 2007-01-15 |
| 1710034145 | Jeffry Raymond Dauk | Chiropractor | 2231 S 92nd St, West Allis, WI 53227-1521 | 2007-01-05 |
| 1477613438 | Hruby Chiropractic Wellness S.c. | Chiropractor | 2349 S 108th St, West Allis, WI 53227-1927 | 2006-12-11 |
| 1760553440 | Mary T Donnelly | Chiropractor | 7301 W National Ave, West Allis, WI 53214-4737 | 2006-11-13 |
| 1467521328 | Craig Logan Jordan | Chiropractor | 10817 W Lincoln Ave, West Allis, WI 53227-1127 | 2006-11-07 |
| Find all providers in WEST ALLIS | ||||
| City | WEST ALLIS |
| Zip Code | 53219 |
Please comment or provide details below to improve the information on DR. DANA M DERRICK.
| 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.