Individual provider Active NPI

Birute Balciunas Schlecht, D.P.M.

  • Podiatrist
  • Kenosha, WI
National Provider Identifier
1184629677
Registry record updated Jan 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
711-025 Issued in WI
Practice address
2901 35TH St
Lower Level
Kenosha, WI 53140-5119
Phone
(262) 652-6555
Fax
(262) 652-7414
NPI assigned
Jun 20, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 711-025 WI Primary
Podiatrist 213E00000X 016-004620 IL

Addresses

Primary practice location

2901 35TH St
Lower Level
Kenosha, WI 53140-5119

Mailing address

2901 35TH St
Lower Level
Kenosha, WI 53140-5119
Phone (262) 652-6555

Other identifiers 1

IdentifierTypeStateIssuer
43221800MedicaidWI

Other names 1

  • Dr. Birute Zita Balciunas Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
711WIMDMental Health Counselor
016-004620ILMDPodiatrist
711-025WIMDPodiatrist

NPI Registry JSON

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388707200000",
    "number": "1184629677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 35TH ST",
            "address_2": "LOWER LEVEL",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531405119",
            "telephone_number": "262-652-6555",
            "fax_number": "262-652-7414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 35TH ST",
            "address_2": "LOWER LEVEL",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531405119",
            "telephone_number": "262-652-6555",
            "fax_number": "262-652-7414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLECHT",
        "first_name": "BIRUTE",
        "middle_name": "BALCIUNAS",
        "name_prefix": "Mrs.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-20",
        "last_updated": "2014-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WI",
            "license": "711-025",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016-004620",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43221800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BIRUTE",
            "last_name": "BALCIUNAS",
            "middle_name": "ZITA",
            "prefix": "DR.",
            "credential": "D.P.M.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Kenosha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.