Organization Active NPI

Calumet County Chiropractic, LLC

  • Chiropractor
  • Chilton, WI
National Provider Identifier
1316622673
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CALUMET COUNTY CHIROPRACTIC, LLC
Practice address
475 Tower View Rd Ste B
Chilton, WI 53014-1261
Phone
(920) 418-9810
NPI assigned
Jun 15, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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

Authorized official

Name
Tiffany Nicole Kurscheidt, DCNPI 1023511482
Title
Owner/Chiropractor
Phone
(920) 418-9810

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

475 Tower View Rd Ste B
Chilton, WI 53014-1261

Mailing address

475 Tower View Rd Ste B
Chilton, WI 53014-1261
Phone (920) 418-9810

Other names 1

  • Calumet County Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240920003224 WI Part B Supplier - Clinic/Group Practice 6901347681 Receives reassigned benefits from 3 practitioners
Practice locations: Chilton, WI

National Provider Directory

National Provider Directory

Locations

475 Tower View Rd
Ste B
Chilton, WI 53014
Phone (920) 418-9810

475 Tower View Rd
Chilton, WI 53014
Phone (920) 418-9810

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1686787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686787200000",
    "number": "1316622673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 TOWER VIEW RD STE B",
            "city": "CHILTON",
            "state": "WI",
            "postal_code": "530141261",
            "telephone_number": "920-418-9810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 TOWER VIEW RD STE B",
            "city": "CHILTON",
            "state": "WI",
            "postal_code": "530141261",
            "telephone_number": "920-418-9810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALUMET COUNTY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-15",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A",
        "authorized_official_last_name": "KURSCHEIDT",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "920-418-9810",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Calumet County Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chilton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.