NPIMap

Organization Active NPI

Scott D. Bautch D C S C

Doing business as Bautch Chiropractic

  • Chiropractor
  • Wausau, WI
National Provider Identifier
1316315153
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1892-012 Issued in WI
Legal business name
SCOTT D. BAUTCH D C S C
Doing business as
Bautch Chiropractic
Practice address
3540 Stewart Ave
Suite a
Wausau, WI 54401-4919
Phone
(715) 842-3999
Fax
(715) 843-7761
NPI assigned
Sep 10, 2015
Last updated
Jul 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Authorized official

Name
Matthew Bautch, DCNPI 1508338559
Title
Owner
Phone
(715) 842-3999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1892-012 WI Primary

Addresses

Primary practice location

3540 Stewart Ave
Suite a
Wausau, WI 54401-4919

Mailing address

3540 Stewart Ave
Suite a
Wausau, WI 54401-4919
Phone (715) 842-3999

Other identifiers 1

IdentifierTypeStateIssuer
38786000MedicaidWI

Other names 1

  • Bautch Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151204001863 WI Part B Supplier - Clinic/Group Practice 7214237759 Receives reassigned benefits from 5 practitioners
Practice locations: Wausau, WI

National Provider Directory

National Provider Directory

Locations

1015 N 6th St
Wausau, WI 54403
Phone (715) 842-3999

305 N 6th St
Wausau, WI 54403
Phone (715) 453-5365

3540 Stewart Ave
Wausau, WI 54401
Phone (715) 842-3999

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1441843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753660800000",
    "number": "1316315153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3540 STEWART AVE",
            "address_2": "SUITE A",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014919",
            "telephone_number": "715-842-3999",
            "fax_number": "715-843-7761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 STEWART AVE",
            "address_2": "SUITE A",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014919",
            "telephone_number": "715-842-3999",
            "fax_number": "715-843-7761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT D. BAUTCH D C S C",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-10",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A",
        "authorized_official_last_name": "BAUTCH",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-842-3999",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "1892-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38786000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bautch Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wausau, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; 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.