Cody Sromek, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5676-12 Issued in WI

Practice address

5632 Parking St
Greendale, WI 53129-1836

Phone

(414) 892-4090

NPI assigned

Sep 15, 2021

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

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Greendale Chiropractic LLC

  • Chiropractor
  • Greendale, WI
  • NPI 1659056869
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1631664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1386314920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 617",
            "city": "GREENDALE",
            "state": "WI",
            "postal_code": "531290617",
            "telephone_number": "414-892-4090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5632 PARKING ST",
            "city": "GREENDALE",
            "state": "WI",
            "postal_code": "531291836",
            "telephone_number": "414-892-4090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SROMEK",
        "first_name": "CODY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-15",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5676-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Paul Schwade, D.D.S.
• Karl Gregory Schwandt, O.D.
• Nicole Joy Senger, R.N.
• Aditi Shah, PHARMD
• Wendy Skroch, MS-CCC-SPP
• Wendy J. Stager, RN
• Pamela Stahler, M.S.
• Jacob Starkweather, MASSAGE THERAPIST
• Stein Optical Inc
• Jennifer Stoltz, MS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; 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.

Verify at the official NPI Registry.