Kettle Moraine Health Center, S.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3384 Issued in WI

Legal business name

KETTLE MORAINE HEALTH CENTER, S.C.

Practice address

2725 Hillside Dr Ste a
Delafield, WI 53018-2165

Phone

(262) 646-2123

Fax

(262) 646-5615

NPI assigned

Dec 5, 2006

Last updated

Apr 2, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Richard Allen Venske, DCNPI 1699852293

Title

Owner/Provider

Phone

(262) 646-2123

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Richard Allen Venske, D.C.

  • Chiropractor
  • Delafield, WI
  • NPI 1699852293
  Medicare reassignment NPD Authorized official
• Michael John Aehl, LMT, LAC., MSOM

  • Acupuncturist
  • Delafield, WI
  • NPI 1881859619
  NPD (past)
• Theresa Marie Tengler, RD

  • Registered Dietitian
  • Delafield, WI
  • NPI 1588949028
  NPD (past)
• Glenn Toth, MD

  • Family Medicine Physician
  • Waukesha, WI
  • NPI 1851300933
  NPD (past)
• Lisa Ann Fitzwilliams, D.C., C.N.

  • Nutrition Chiropractor
  • Carbondale, CO
  • NPI 1679776009
  NPD (past)

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680393600000",
    "number": "1083772735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2725 HILLSIDE DR STE A",
            "city": "DELAFIELD",
            "state": "WI",
            "postal_code": "530182165",
            "telephone_number": "262-646-2123",
            "fax_number": "262-646-5615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 HILLSIDE DR STE A",
            "city": "DELAFIELD",
            "state": "WI",
            "postal_code": "530182165",
            "telephone_number": "262-646-2123",
            "fax_number": "262-646-5615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KETTLE MORAINE HEALTH CENTER, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2023-04-02",
        "certification_date": "2023-04-02",
        "status": "A",
        "authorized_official_last_name": "VENSKE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "262-646-2123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3384",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WI",
            "license": "33436",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ann Jugenheimer
• Shannon Lea Kasten, PTA
• Katie Andrew Physical Therapy
• Katie Andrew Physical Therapy
• Michelle J Kelly, D.D.S.
• Thomas E Kielma, D.D.S.
• Kinetic Sports Medicine and Performance LLC (Kinetic Sports Medicine and Performance)
• Carrie Jo Klay, P.T.A.
• Mark R Knutson, DDS
• Emily Kolaga, PT, DPT, CSCS, CKTP

• Chiropractor in Delafield, WI
• Providers in Delafield, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2023; 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.