Individual provider Active NPI

Elizabeth Kuenzi, DC

  • Chiropractor
  • Beaver Dam, WI
National Provider Identifier
1427638261
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5644-12 Issued in WI
Practice address
105 Warren St Ste 1
Beaver Dam, WI 53916-3012
Phone
(920) 885-0641
Fax
(920) 885-0643
NPI assigned
Apr 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5644-12 WI Primary

Addresses

Primary practice location

105 Warren St Ste 1
Beaver Dam, WI 53916-3012

Mailing address

105 Warren St Ste 1
Beaver Dam, WI 53916-3012
Phone (920) 885-0641

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210518001477 WI Practitioner - Chiropractic 8628487915 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

105 Warren St
Suite 1
Beaver Dam, WI 53916-3012
Phone (920) 860-4856

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Generations Chiropractic of Wi LLC Chiropractor CurrentSince Jul 1, 2023 Accepting new patients
Dodge County Chiropractic Service Corporation Chiropractor CurrentSince Apr 1, 2023 Accepting new patients
Family First Chiropractic & Wellness Center PastSince Nov 1, 2021 Accepting new patients
Total Family Chiropractic LLC PastSince Nov 1, 2021 Accepting new patients

Locations

105 Warren St
Ste 1
Beaver Dam, WI 53916
Phone (920) 860-4856

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1618358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1427638261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 WARREN ST STE 1",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "539163012",
            "telephone_number": "920-885-0641",
            "fax_number": "920-885-0643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 WARREN ST STE 1",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "539163012",
            "telephone_number": "920-885-0641",
            "fax_number": "920-885-0643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUENZI",
        "first_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-14",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5644-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaver Dam, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.