Organization Active NPI

Kratz Family Chiropractic

  • Chiropractor
  • Stoughton, WI
National Provider Identifier
1336304815
Registry record updated Jun 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3653 Issued in WI
Legal business name
KRATZ FAMILY CHIROPRACTIC
Practice address
1718 US Highway 51 and 138
Stoughton, WI 53589-1908
Phone
(608) 873-3037
Fax
(608) 873-3053
NPI assigned
Jul 23, 2008
Last updated
Jun 14, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2012

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

Authorized official

Name
Mrs. Ellen Margaret Kratz
Title
Vice President
Phone
(608) 873-3037

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3653 WI Primary

Addresses

Primary practice location

1718 US Highway 51 and 138
Stoughton, WI 53589-1908

Mailing address

1718 US Highway 51 and 138
Stoughton, WI 53589-1908
Phone (608) 873-3037

Other identifiers 1

IdentifierTypeStateIssuer
38977100MedicaidWI

National Provider Directory

National Provider Directory

Locations

1718 US Hwy 51 and 138
Stoughton, WI 53589
Phone (608) 873-3037

135 W Main St
Stoughton, WI 53589
Phone (608) 873-3037

1718 US Hwy 51 and 138
Stoughton, WI 53589
Phone (608) 873-3037

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339632000000",
    "number": "1336304815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1718 US HIGHWAY 51 AND 138",
            "city": "STOUGHTON",
            "state": "WI",
            "postal_code": "535891908",
            "telephone_number": "608-873-3037",
            "fax_number": "608-873-3053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1718 US HIGHWAY 51 AND 138",
            "city": "STOUGHTON",
            "state": "WI",
            "postal_code": "535891908",
            "telephone_number": "608-873-3037",
            "fax_number": "608-873-3053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRATZ FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-23",
        "last_updated": "2012-06-14",
        "status": "A",
        "authorized_official_last_name": "KRATZ",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "MARGARET",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "608-873-3037",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38977100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stoughton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.