Tundra Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5115-12 Issued in WI

Legal business name

TUNDRA CHIROPRACTIC, LLC

Practice address

1251 Scheuring Rd
De Pere, WI 54115-1003

Phone

(920) 336-3353

NPI assigned

Mar 8, 2018

Organization subpart

No

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

Authorized official

Name

Kallie Ann Madison, DCNPI 1750757050

Title

Chiropractor

Phone

(920) 336-3353

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 2

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.

• Cory Dean Madison

  • Chiropractor
  • De Pere, WI
  • NPI 1689040180
  Medicare reassignment NPD
• Kallie Ann Madison, D.C.

  • Chiropractor
  • De Pere, WI
  • NPI 1750757050
  Authorized official Same address or phone

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

{
    "created_epoch": "1520467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1093218745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 S COURTLAND DR",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543139360",
            "telephone_number": "920-336-3353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 SCHEURING RD",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541151003",
            "telephone_number": "920-336-3353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUNDRA CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-08",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "MADISON",
        "authorized_official_first_name": "KALLIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "920-336-3353",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5115-12",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5112-12",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori-Ann Torreano, M.D.
• Total Pursuit Physical Therapy & Performance
• Stephanie J Towle, MA CCC-SLP
• Alexandria Tressler
• Timothy Trupke, PT, ATC
• Lisa M Tutskey, MS, LMFT
• Tracey M. Tyler, OTR
• United Seating and Mobility, LLC (CorLife)
• Unity Limited Partnership (Unity)
• Unity Supportive Care Management, LLC

• Chiropractor in De Pere, WI
• Providers in De Pere, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.