Active NPI
Shannon Rae Kurtz, D.C.
- Chiropractor
- Franklin, WI
National Provider Identifier
1144657495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4943-12
- Practice address
- 7000 S 76TH St
Franklin, WI 53132-9077 - Phone
- (414) 525-9500
- Fax
- (414) 525-0900
- NPI assigned
- Oct 2, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4943-12 | WI | Primary |
Addresses
Primary practice location
7000 S 76TH St
Franklin, WI 53132-9077
Mailing address
W164N11297 Squire Dr
Ste E
Germantown, WI 53022-6028
Phone (262) 250-1948
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7000 S 76TH St
Franklin, WI 53132-9077
Phone (414) 525-9500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4943-12 | WI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Krsko Chiropractic S.C. | Chiropractor | Current | Accepting new patients |
| McAvoy Chiropractic, LLC | Chiropractor | Current | Accepting new patients |
| Chiropractic Associatess of Kenosha a S C | Past | Accepting new patients |
Locations
7000 S 76th St
Franklin, WI 53132
Phone (414) 525-9500
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Franklin, WI
- NPI 1316498074
-
- Chiropractor
- Franklin, WI
- NPI 1417016494
-
- Clinic/Center
- Kenosha, WI
- NPI 1699079079
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583366400000",
"number": "1144657495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W164N11297 SQUIRE DR",
"address_2": "STE E",
"city": "GERMANTOWN",
"state": "WI",
"postal_code": "530226028",
"telephone_number": "262-250-1948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7000 S 76TH ST",
"city": "FRANKLIN",
"state": "WI",
"postal_code": "531329077",
"telephone_number": "414-525-9500",
"fax_number": "414-525-0900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KURTZ",
"first_name": "SHANNON",
"middle_name": "RAE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-02",
"last_updated": "2020-03-05",
"certification_date": "2020-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "4943-12",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Franklin, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; 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.