Individual provider Active NPI

Karl Yentz, D.C.

  • Chiropractor
  • Germantown, WI
National Provider Identifier
1083162440
Registry record updated Sep 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5122-12 Issued in WI
Practice address
N112W16076 Mequon Rd Ste A2
Germantown, WI 53022-3333
Phone
(608) 393-5574
NPI assigned
Sep 14, 2016
Last updated
Sep 14, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5122-12 WI Primary

Addresses

Primary practice location

N112W16076 Mequon Rd Ste A2
Germantown, WI 53022-3333

Mailing address

N112W16076 Mequon Rd Ste A2
Germantown, WI 53022-3333
Phone (608) 393-5574

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161013000779 WI Practitioner - Chiropractic 5496043127 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

N112W16076 Mequon Rd
A2
Germantown, WI 53022-3333
Phone (608) 393-5574

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Yentz Family Chiropractic LLC Chiropractor CurrentSince Nov 1, 2016 Accepting new patients
Dr. Kate's Brain Expedition for Excellence Past Accepting new patients

Locations

N112W16076 Mequon Rd
#A2
Germantown, WI 53022
Phone (262) 293-9098

N112W16076 Mequon Rd
Ste A2
Germantown, WI 53022
Phone (262) 293-9098

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": "1473811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473811200000",
    "number": "1083162440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N112W16076 MEQUON RD STE A2",
            "city": "GERMANTOWN",
            "state": "WI",
            "postal_code": "530223333",
            "telephone_number": "608-393-5574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N112W16076 MEQUON RD STE A2",
            "city": "GERMANTOWN",
            "state": "WI",
            "postal_code": "530223333",
            "telephone_number": "608-393-5574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YENTZ",
        "first_name": "KARL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-14",
        "last_updated": "2016-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5122-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.