Active NPI
Lake Geneva Chiropractic Partners
- Chiropractor
- Lake Geneva, WI
National Provider Identifier
1407946254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2834-012
- Legal business name
- LAKE GENEVA CHIROPRACTIC PARTNERS
- Practice address
- 612 S Wells St
Suite C
Lake Geneva, WI 53147-2159 - Phone
- (262) 248-8177
- Fax
- (262) 248-6393
- NPI assigned
- Oct 13, 2006
- Last updated
- Jul 16, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jeffrey Gene Buntrock, DC
- Title
- Owner/Doctor
- Phone
- (262) 248-8177
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2834-012 | WI | Primary |
Addresses
Primary practice location
612 S Wells St
Suite C
Lake Geneva, WI 53147-2159
Mailing address
612 S Wells St
Suite C
Lake Geneva, WI 53147-2159
Phone (262) 248-8177
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38863200 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
612 S Wells St
Ste C
Lake Geneva, WI 53147
Phone (262) 248-8177
Practitioners & affiliated clinicians
Practitioners 7
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.
-
- Chiropractor
- Lake Geneva, WI
- NPI 1881624823
-
- Chiropractor
- Kenosha, WI
- NPI 1033260500
-
- Chiropractor
- Lake Geneva, WI
- NPI 1770665283
-
- Massage Therapist
- Lake Geneva, WI
- NPI 1245575844
-
- Chiropractor
- Milwaukee, WI
- NPI 1386677888
-
- Chiropractor
- Lake Geneva, WI
- NPI 1790018901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1752624000000",
"number": "1407946254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "612 S WELLS ST",
"address_2": "SUITE C",
"city": "LAKE GENEVA",
"state": "WI",
"postal_code": "531472159",
"telephone_number": "262-248-8177",
"fax_number": "262-248-6393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "612 S WELLS ST",
"address_2": "SUITE C",
"city": "LAKE GENEVA",
"state": "WI",
"postal_code": "531472159",
"telephone_number": "262-248-8177",
"fax_number": "262-248-6393"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAKE GENEVA CHIROPRACTIC PARTNERS",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-13",
"last_updated": "2025-07-16",
"certification_date": "2025-07-16",
"status": "A",
"authorized_official_last_name": "BUNTROCK",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "GENE",
"authorized_official_title_or_position": "OWNER/DOCTOR",
"authorized_official_telephone_number": "262-248-8177",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "2834-012",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38863200",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Geneva, WI
- Geetha Priydarshini Krishnan, MD
- Kaitlyn Elise Kurth, DPT
- Amanda Kutis, LAT
- Ladd F. Koresch O.D., S.C.
- Duanne Lafrenz, MSW, LCSW
- Lake Geneva Dental Care LLC
- Lake Geneva Oral and Maxillofacial Surgery, LTD
- Lake Geneva Wellness Clinic LLC
- Lake Geneva-Genoa City Union High School District
- Lakes Area Counseling Clinic
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.