Active NPI
Emily L Doudlah, DC
- Chiropractor
- Madison, WI
National Provider Identifier
1326722786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6114
- Practice address
- 3205 E Washington Ave
Madison, WI 53704-4332 - Phone
- (608) 249-7657
- Fax
- (608) 249-7728
- NPI assigned
- Jun 14, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 2012-55 | WI | |
| Chiropractor | 111N00000X | 6114 | WI | Primary |
Addresses
Primary practice location
3205 E Washington Ave
Madison, WI 53704-4332
Mailing address
105 Clarmar Dr
Sun Prairie, WI 53590-2675
Phone (608) 318-5929
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100248472 | Medicaid | WI |
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
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3205 E Washington Ave
Madison, WI 53704-4332
Phone (608) 249-7657
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6114 | WI | MD | Chiropractor |
| 2012-55 | WI | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luedtke-Storm-Mackey Chiropractic Clinic SC | Chiropractor | Current | Accepting new patients |
Locations
3205 E Washington Ave
#2
Madison, WI 53704
Phone (608) 249-7657
3205 E Washington Ave
Madison, WI 53704
Phone (608) 249-7657
105 Clarmar Dr
Sun Prairie, WI 53590
Phone (608) 316-6972
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.
-
- Chiropractor
- Sun Prairie, WI
- NPI 1457343246
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775692800000",
"number": "1326722786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 CLARMAR DR",
"city": "SUN PRAIRIE",
"state": "WI",
"postal_code": "535902675",
"telephone_number": "608-318-5929",
"fax_number": "608-318-5922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3205 E WASHINGTON AVE",
"city": "MADISON",
"state": "WI",
"postal_code": "537044332",
"telephone_number": "608-249-7657",
"fax_number": "608-249-7728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOUDLAH",
"first_name": "EMILY",
"middle_name": "L",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-14",
"last_updated": "2026-04-09",
"certification_date": "2026-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "WI",
"license": "2012-55",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "6114",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100248472",
"state": "WI"
}
],
"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 Apr 9, 2026; 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.