Robert C Kurtz, D.C.
Individual provider Active NPI Chiropractor · Edgerton, WI
NPI 1154450559 · NPPES record last updated Jun 6, 2017
Key facts
- NPI
- 1154450559
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2017-012 (WI)
- Practice address
- 123 N Henry St
Edgerton, WI 53534-1822 - Phone
- (608) 884-8731
- Fax
- (608) 884-8731
- NPI assigned
- Mar 4, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
92 E State Rd
59 Suite C
Edgerton, WI 53534-9142
Phone (608) 921-2440
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060221000353 | WI | Practitioner - Chiropractic | 5294740783 | Practice locations: Edgerton, WI |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2017-012 | WI | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2017-012 | WI | Yes |
Addresses
Primary practice location
123 N Henry St
Edgerton, WI 53534-1822
Mailing address
92 E State Road 59 Ste C
Edgerton, WI 53534-9142
Phone (608) 921-2440
Other providers in Edgerton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 6, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.