Individual provider Active NPI

Scott Charles Kurtti, DC

  • Chiropractor
  • Oshkosh, WI
National Provider Identifier
1487687885
Registry record updated Jun 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2115-012 Issued in WI
Practice address
2337A Jackson St
Oshkosh, WI 54901-1809
Phone
(920) 573-0400
Fax
(920) 744-1442
NPI assigned
Jul 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2115-012 WI Primary

Addresses

Primary practice location

2337A Jackson St
Oshkosh, WI 54901-1809

Mailing address

PO Box 883
Oshkosh, WI 54903-0883
Phone (920) 573-0400

Other identifiers 1

IdentifierTypeStateIssuer
38841400MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2115-012WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Kurtti Chiropractic, LLC Chiropractor CurrentSince Dec 5, 2021 Accepting new patients
Belville Fletcher Chiropractic Office SC Chiropractor Past Accepting new patients

Locations

2334 Jackson St
Oshkosh, WI 54901
Phone (920) 236-1200

Organizations & group practices 2

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": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433376000000",
    "number": "1487687885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 883",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549030883",
            "telephone_number": "920-573-0400",
            "fax_number": "920-744-1442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2337A JACKSON ST",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549011809",
            "telephone_number": "920-573-0400",
            "fax_number": "920-744-1442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURTTI",
        "first_name": "SCOTT",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2015-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2115-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38841400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oshkosh, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.