Kelly Buetow

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3657-12 Issued in WI

Practice address

14999 W Beloit Rd Ste a
New Berlin, WI 53151-7438

Phone

(414) 525-1030

NPI assigned

Feb 18, 2016

Last updated

Feb 18, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Durski Chiropractic

  • Chiropractor
  • New Berlin, WI
  • NPI 1912266818
  NPD (past)

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

{
    "created_epoch": "1455753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455753600000",
    "number": "1326407388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14999 W BELOIT RD STE A",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531517438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14999 W BELOIT RD STE A",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531517438",
            "telephone_number": "414-525-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUETOW",
        "first_name": "KELLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-18",
        "last_updated": "2016-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3657-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan L Bucaro
• Timothy George Buchanan, MD
• Jessica Maeve Buchberger, D.O.
• Neal Robert Bucholtz, DDS
• Jenny Bucholz, RN
• Anna Bujak
• Marcelle Bullard, PA
• Theresa Sue Ignaczak Bullis, CPNP-PC
• Julie Buntrock, APNP
• John Robert Burns, PT, LAC

• Chiropractor in New Berlin, WI
• Providers in New Berlin, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.