Active NPI
Austin Tray Klute, DC
- Chiropractor
- Madison, WI
National Provider Identifier
1265074306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5531-12
- Practice address
- 6075 Gemini Dr Ste 101
Madison, WI 53718-3013 - Phone
- (608) 338-5901
- NPI assigned
- Oct 10, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038.013448 | IL | |
| Chiropractor | 111N00000X | 5531-12 | WI | Primary |
Addresses
Primary practice location
6075 Gemini Dr Ste 101
Madison, WI 53718-3013
Mailing address
3508 Cambridge CT Apt 2
Danville, IL 61832-7938
Phone (608) 338-5901
Other practice location 1
3595 N Vermilion St
Danville, IL 61832-1337
Phone (217) 442-2273
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, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
6075 Gemini Dr
Suite 101
Madison, WI 53718-3013
Phone (608) 471-4104
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038.013448 | IL | MD | Chiropractor |
| 5531-12 | WI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Balance Chiropractic LLC | Current | Accepting new patients |
Locations
6075 Gemini Dr
#101
Madison, WI 53718
Phone (608) 338-5901
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 and National Provider Directory roles.
-
- Health Service Clinic/Center
- Madison, WI
- NPI 1861001810
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595808000000",
"number": "1265074306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3508 CAMBRIDGE CT APT 2",
"city": "DANVILLE",
"state": "IL",
"postal_code": "618327938",
"telephone_number": "608-338-5901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6075 GEMINI DR STE 101",
"city": "MADISON",
"state": "WI",
"postal_code": "537183013",
"telephone_number": "608-338-5901"
}
],
"practiceLocations": [
{
"address_1": "3595 N Vermilion St",
"address_purpose": "LOCATION",
"city": "Danville",
"state": "IL",
"postal_code": "618321337",
"country_code": "US",
"telephone_number": "217-442-2273",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KLUTE",
"first_name": "AUSTIN",
"middle_name": "TRAY",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-10-10",
"last_updated": "2020-07-27",
"certification_date": "2020-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038.013448",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "5531-12",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.