Active NPI
Beverly Kohnle, D.C.
- Chiropractor
- Denmark, WI
National Provider Identifier
1225153109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2597
- Practice address
- 605 County Road R
Denmark, WI 54208-9793 - Phone
- (920) 863-5220
- Fax
- (920) 863-3908
- NPI assigned
- Mar 20, 2007
- Last updated
- Jan 25, 2012
- 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 | 2597 | WI | Primary |
Addresses
Primary practice location
605 County Road R
Denmark, WI 54208-9793
Mailing address
605 County Road R
Denmark, WI 54208-9793
Phone (920) 863-5220
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3884800 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051201000895 | WI | Practitioner - Chiropractic | 9638199870 | Practice locations: Denmark, WI |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
605 County Rd R
Denmark, WI 54208-9793
Phone (920) 863-5220
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kohnle Investments LLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327449600000",
"number": "1225153109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "605 COUNTY ROAD R",
"city": "DENMARK",
"state": "WI",
"postal_code": "542089793",
"telephone_number": "920-863-5220",
"fax_number": "920-863-3908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 COUNTY ROAD R",
"city": "DENMARK",
"state": "WI",
"postal_code": "542089793",
"telephone_number": "920-863-5220",
"fax_number": "920-863-3908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOHNLE",
"first_name": "BEVERLY",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-20",
"last_updated": "2012-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "2597",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3884800",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Denmark, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; 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.