Individual provider Active NPI

Steven M Witters, D.C.

  • Chiropractor
  • Baraboo, WI
National Provider Identifier
1447358403
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1559-012 Issued in WI
Practice address
1030 8TH St
Baraboo, WI 53913-1850
Phone
(608) 356-2127
Fax
(608) 356-1292
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1559-012 WI Primary

Addresses

Primary practice location

1030 8TH St
Baraboo, WI 53913-1850

Mailing address

1030 8TH St
Baraboo, WI 53913-1850
Phone (608) 356-2127

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061012000238 WI Practitioner - Chiropractic 9638175797 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1979
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1030 8TH St
Baraboo, WI 53913-1850
Phone (608) 356-2127

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1559-012WIMDChiropractor
1559WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baraboo Chiropractic Office Inc Chiropractor CurrentSince Oct 16, 2006 Accepting new patients

Locations

1030 8th St
Baraboo, WI 53913
Phone (608) 356-2127

Organizations & group practices 1

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447358403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 8TH ST",
            "city": "BARABOO",
            "state": "WI",
            "postal_code": "539131850",
            "telephone_number": "608-356-2127",
            "fax_number": "608-356-1292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 8TH ST",
            "city": "BARABOO",
            "state": "WI",
            "postal_code": "539131850",
            "telephone_number": "608-356-2127",
            "fax_number": "608-356-1292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITTERS",
        "first_name": "STEVEN",
        "middle_name": "M",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "1559-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baraboo, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.