Individual provider Active NPI

Evan W Klueger, D.C.

  • Chiropractor
  • Sheboygan Falls, WI
National Provider Identifier
1447977798
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6026-12 Issued in WI
Practice address
275 N Main St
Sheboygan Falls, WI 53085-3315
Phone
(920) 467-8690
Fax
(920) 467-0373
NPI assigned
Oct 26, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6026-12 WI Primary

Addresses

Primary practice location

275 N Main St
Sheboygan Falls, WI 53085-3315

Mailing address

275 N Main St
Sheboygan Falls, WI 53085-3315
Phone (920) 467-8690

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221207001651 WI Practitioner - Chiropractic 0941679385 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

275 N Main St
Sheboygan Falls, WI 53085-3315
Phone (920) 467-8690

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kluegerchiropractic LLC Chiropractor CurrentSince Apr 24, 2023 Accepting new patients

Locations

275 State Highway 32
Sheboygan Fls, WI 53085
Phone (920) 467-1697

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": "1666742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1447977798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 N MAIN ST",
            "city": "SHEBOYGAN FALLS",
            "state": "WI",
            "postal_code": "530853315",
            "telephone_number": "920-467-8690",
            "fax_number": "920-467-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 N MAIN ST",
            "city": "SHEBOYGAN FALLS",
            "state": "WI",
            "postal_code": "530853315",
            "telephone_number": "920-467-8690",
            "fax_number": "920-467-0373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLUEGER",
        "first_name": "EVAN",
        "middle_name": "W",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-26",
        "last_updated": "2022-10-26",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "6026-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheboygan Falls, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; 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.