Individual provider Active NPI

Timothy S Kroneck, D.C.

  • Chiropractor
  • Sheboygan, WI
National Provider Identifier
1073641403
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3527-012 Issued in WI
Practice address
1720 N 8TH St
Sheboygan, WI 53081-2773
Phone
(920) 803-2225
Fax
(920) 803-3001
NPI assigned
Feb 28, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3527-012 WI Primary

Addresses

Primary practice location

1720 N 8TH St
Sheboygan, WI 53081-2773

Mailing address

1720 N 8TH St
Sheboygan, WI 53081-2773
Phone (920) 803-2225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070328000330 WI Practitioner - Chiropractic 2961506175 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3527-012WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Wisconsin Spine Center, SC Chiropractor CurrentSince Apr 30, 2007 Accepting new patients
Farmer City Chiropractic Office P.C. Chiropractor Past Accepting new patients

Locations

1720 N 8th St
Sheboygan, WI 53081
Phone (920) 803-2225

3303 Superior Ave
Sheboygan, WI 53081
Phone (920) 208-3557

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073641403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 N 8TH ST",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530812773",
            "telephone_number": "920-803-2225",
            "fax_number": "920-803-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 N 8TH ST",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530812773",
            "telephone_number": "920-803-2225",
            "fax_number": "920-803-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRONECK",
        "first_name": "TIMOTHY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3527-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheboygan, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.