Organization Active NPI

Verkuilen Family Chiropractic, LLC

  • Chiropractor
  • Shawano, WI
National Provider Identifier
1356538649
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
WI3637 Issued in WI
Legal business name
VERKUILEN FAMILY CHIROPRACTIC, LLC
Practice address
1401 E Elizabeth St
Shawano, WI 54166-3121
Phone
(715) 524-6720
Fax
(715) 524-5581
NPI assigned
Oct 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Authorized official

Name
Dr. Carrie M Verkuilen, D.C.NPI 1790852176
Title
Chiropractor
Phone
(715) 524-6720

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 WI3637 WI Primary

Addresses

Primary practice location

1401 E Elizabeth St
Shawano, WI 54166-3121

Mailing address

1401 E Elizabeth St
Shawano, WI 54166-3121
Phone (715) 524-6720

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041018000718 WI Part B Supplier - Clinic/Group Practice 7214997873 Receives reassigned benefits from 2 practitioners
Practice locations: Shawano, WI

National Provider Directory

National Provider Directory

Locations

154 Woodlawn Dr
Shawano, WI 54166
Phone (715) 524-5720

Practitioners & affiliated clinicians

Practitioners 4

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": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754438400000",
    "number": "1356538649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 E ELIZABETH ST",
            "city": "SHAWANO",
            "state": "WI",
            "postal_code": "541663121",
            "telephone_number": "715-524-6720",
            "fax_number": "715-524-5581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 E ELIZABETH ST",
            "city": "SHAWANO",
            "state": "WI",
            "postal_code": "541663121",
            "telephone_number": "715-524-6720",
            "fax_number": "715-524-5581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERKUILEN FAMILY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A",
        "authorized_official_last_name": "VERKUILEN",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "715-524-6720",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "WI3637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawano, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.