Organization Active NPI

Luedtke-Storm-Mackey Chiropractic Clinic SC

  • Chiropractor
  • Sun Prairie, WI
National Provider Identifier
1457343246
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
LUEDTKE-STORM-MACKEY CHIROPRACTIC CLINIC SC
Practice address
105 Clarmar Drive
Sun Prairie, WI 53590
Phone
(608) 316-6972
NPI assigned
Aug 17, 2005
Reactivated
Nov 7, 2022
Last updated
Feb 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Authorized official

Name
Dr. Nathan L Considine, D.C.NPI 1679565469
Title
President
Phone
(608) 963-4722

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary
Physical Therapist 225100000X

Addresses

Primary practice location

105 Clarmar Drive
Sun Prairie, WI 53590

Mailing address

105 Clarmar Drive
Sun Prairie, WI 53590
Phone (608) 316-6972

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040114000264 WI Part B Supplier - Clinic/Group Practice 6204737240 Receives reassigned benefits from 32 practitioners
Practice locations: Whitewater, WI; Waunakee, WI; Watertown, WI; Verona, WI; Sun Prairie, WI; Stoughton, WI; Sauk City, WI; New Glarus, WI…

National Provider Directory

National Provider Directory

Locations (25 of 27)

3070 Fish Hatchery Rd
Ste 2
Fitchburg, WI 53713
Phone (608) 271-7323

924 Forest Ave
Ste 101
Fond du Lac, WI 54935
Phone (920) 921-4130

924 Forest Ave
Unit 101
Fond du Lac, WI 54935

103 S 3rd St W
Fort Atkinson, WI 53538
Phone (920) 563-4970

825 Lexington Blvd
Ste 4
Fort Atkinson, WI 53538
Phone (608) 291-0614

2702 Monroe St
Madison, WI 53711
Phone (608) 231-3370

2702 Monroe St
Ste A
Madison, WI 53711
Phone (608) 231-3370

2702 Monroe St
Ste B
Madison, WI 53711

3205 E Washington Ave
Madison, WI 53704
Phone (608) 249-7657

3205 E Washington Ave
#1
Madison, WI 53704
Phone (608) 886-9802

5609 Medical Cir
Ste 2
Madison, WI 53719
Phone (608) 467-8282

6704 University Ave
Middleton, WI 53562
Phone (608) 291-0614

6710 University Ave
Middleton, WI 53562
Phone (608) 820-1300

6716 University Ave
Middleton, WI 53562
Phone (608) 820-1300

978 Park St
Oregon, WI 53575
Phone (608) 291-0614

978 Park St
Ste A
Oregon, WI 53575

720 Nygaard St
Stoughton, WI 53589
Phone (608) 480-7103

1109 W Main St
Sun Prairie, WI 53590
Phone (608) 837-7712

1633 W Main St
Sun Prairie, WI 53590
Phone (608) 837-7712

201 W Verona Ave
Ste 100
Verona, WI 53593
Phone (608) 291-0614

208 W Main St
Watertown, WI 53094
Phone (920) 206-7959

612 N Church St
Watertown, WI 53098
Phone (920) 261-1226

808 E Main St
Watertown, WI 53094
Phone (608) 291-0614

249 S Century Ave
Waunakee, WI 53597
Phone (608) 291-0614

509 E Main St
Ste A
Waunakee, WI 53597

Practitioners & affiliated clinicians

Practitioners 56

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.

View all 56

NPI Registry JSON

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675209600000",
    "number": "1457343246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 CLARMAR DRIVE",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "53590",
            "telephone_number": "608-316-6972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 CLARMAR DRIVE",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "53590",
            "telephone_number": "608-316-6972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUEDTKE-STORM-MACKEY CHIROPRACTIC CLINIC SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-17",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "deactivation_date": "2022-10-13",
        "reactivation_date": "2022-11-07",
        "status": "A",
        "authorized_official_last_name": "CONSIDINE",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "608-963-4722",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun Prairie, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; 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.