NPIMap

Organization Active NPI

Kromrey Chiropractic, S.C.

  • Chiropractor
  • Cadott, WI
National Provider Identifier
1396934725
Registry record updated Jan 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2448 Issued in WI
Legal business name
KROMREY CHIROPRACTIC, S.C.
Practice address
500 S Main St
Cadott, WI 54727-9401
Phone
(715) 289-5000
Fax
(715) 289-3388
NPI assigned
Oct 22, 2007
Last updated
Jan 13, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2015

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

Authorized official

Name
Dr. Shawn Kromrey, D.C.NPI 1699836213
Title
Doctor/Owner
Phone
(715) 289-5000

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
Chiropractor 111N00000X 2448 WI Primary

Addresses

Primary practice location

500 S Main St
Cadott, WI 54727-9401

Mailing address

500 S Main St
Cadott, WI 54727-9401
Phone (715) 289-5000

Other identifiers 1

IdentifierTypeStateIssuer
39000500MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050121000373 WI Part B Supplier - Clinic/Group Practice 0648229179 Receives reassigned benefits from 3 practitioners
Practice locations: Cadott, WI

National Provider Directory

National Provider Directory

Locations

500 S Main St
Cadott, WI 54727
Phone (715) 289-4544

Practitioners & affiliated clinicians

Practitioners 10

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": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421107200000",
    "number": "1396934725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S MAIN ST",
            "city": "CADOTT",
            "state": "WI",
            "postal_code": "547279401",
            "telephone_number": "715-289-5000",
            "fax_number": "715-289-3388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S MAIN ST",
            "city": "CADOTT",
            "state": "WI",
            "postal_code": "547279401",
            "telephone_number": "715-289-5000",
            "fax_number": "715-289-3388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KROMREY CHIROPRACTIC, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-22",
        "last_updated": "2015-01-13",
        "status": "A",
        "authorized_official_last_name": "KROMREY",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "715-289-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39000500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cadott, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; 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.