Scott M Ulrey, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1440 Issued in WI

Practice address

303 S 1St St
Watertown, WI 53094-4405

Phone

(920) 261-0855

Fax

(920) 261-0940

NPI assigned

Jul 20, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Tyjeski Family Chiropractic

  • Chiropractor
  • Beaver Dam, WI
  • NPI 1396418083
  NPD (past)

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187568000000",
    "number": "1366441453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 S 1ST ST",
            "city": "WATERTOWN",
            "state": "WI",
            "postal_code": "530944405",
            "telephone_number": "920-261-0855",
            "fax_number": "920-261-0940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 S 1ST ST",
            "city": "WATERTOWN",
            "state": "WI",
            "postal_code": "530944405",
            "telephone_number": "920-261-0855",
            "fax_number": "920-261-0940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULREY",
        "first_name": "SCOTT",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2007-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "1440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38760900",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "391388868013",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Turke Family Medicine, S.C.
• Terry L Turke, M.D.
• Stephanie Kaye Tyjeski, D.C.
• Jacquelin Ulm
• Ulrey Chiropractic Office SC
• Rosa Deanna Perez Valenzuela
• Holly C Van Hecke, MD
• Pamela Gerda Vette Burgardt, PT
• Victory House, LLC
• Tiffany L Virchow, PT

• Chiropractor in Watertown, WI
• Providers in Watertown, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; 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.