Individual provider Active NPI

Austin Burkhalter, DC

  • Chiropractor
  • Baraboo, WI
National Provider Identifier
1497599757
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6202-12 Issued in WI
Practice address
920 8TH Ave
Baraboo, WI 53913-1247
Phone
(608) 356-3811
NPI assigned
Jun 21, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6202-12 WI Primary

Addresses

Primary practice location

920 8TH Ave
Baraboo, WI 53913-1247

Mailing address

920 8TH Ave
Baraboo, WI 53913-1247

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240708000951 WI Practitioner - Chiropractic 5193269769 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Burkhalter Chiropractic SCGroup PAC ID 2769677632, 4 clinicians

Practice addresses (Care Compare)

920 8TH Ave
Baraboo, WI 53913-1247
Phone (608) 356-3811

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6202-12WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Burkhalter Chiropractic SC Chiropractor CurrentSince May 24, 2024 Accepting new patients

Locations

920 8th Ave
Baraboo, WI 53913
Phone (608) 356-3811

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": "1718928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1497599757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 8TH AVE",
            "city": "BARABOO",
            "state": "WI",
            "postal_code": "539131247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 8TH AVE",
            "city": "BARABOO",
            "state": "WI",
            "postal_code": "539131247",
            "telephone_number": "608-356-3811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKHALTER",
        "first_name": "AUSTIN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-21",
        "last_updated": "2024-06-21",
        "certification_date": "2024-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "6202-12",
            "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 Jun 21, 2024; 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.