Adam Francis Mootz, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5058-12 Issued in WI

Practice address

102 N 13TH Ave
Winneconne, WI 54986-5498

Phone

(920) 385-9499

NPI assigned

Dec 8, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Winnebago Wellness LLC

  • Chiropractor
  • Winneconne, WI
  • NPI 1568173326
  Medicare reassignment NPD Authorized official
• Belville & Associates Chiropractic Clinic SC

  • Chiropractor
  • Oshkosh, WI
  • NPI 1215298310
  Medicare reassignment NPD

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

{
    "created_epoch": "1417996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676592000000",
    "number": "1164820155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9517 LAURA LN",
            "city": "WINNECONNE",
            "state": "WI",
            "postal_code": "549869627",
            "telephone_number": "608-547-1379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 N 13TH AVE",
            "city": "WINNECONNE",
            "state": "WI",
            "postal_code": "549865498",
            "telephone_number": "920-385-9499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOOTZ",
        "first_name": "ADAM",
        "middle_name": "FRANCIS",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-08",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5058-12",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164820155",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• McGinnis Chiropractic Health Clinic
• McGinnis Chiropractic Office Inc
• Michael James McGinnis, DC
• Samuel John Edward McGinnis, D.C.
• Whitney Louise McMullin, CRNA
• Morton Drug Co Inc
• Caley Irene Powell, B.S.N.,R.N.
• John F. Richardson, D.D.S.
• Schultz Pharmacy Inc
• Shopko Stores Operating Co LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.