Individual provider Active NPI

Casey W Schultz, DC

  • Chiropractor
  • Madison, WI
National Provider Identifier
1528398146
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4570-012 Issued in WI
Practice address
5555 Odana Rd Ste 111
Madison, WI 53719-1281
Phone
(608) 204-0428
NPI assigned
Jan 4, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4570-012 WI Primary

Addresses

Primary practice location

5555 Odana Rd Ste 111
Madison, WI 53719-1281

Mailing address

5555 Odana Rd Ste 111
Madison, WI 53719-1281
Phone (608) 204-0428

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181017002895 WI Practitioner - Chiropractic 3072785666 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5555 Odana Rd
Suite 111
Madison, WI 53719-1281
Phone (608) 204-0428

605 Main St
Highland, WI 53543-9735
Phone (608) 929-5052

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4570-012WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Schultz Family Chiropractic and Wellness Center, LLC Chiropractor CurrentSince Sep 14, 2010 Accepting new patients
Highland Chiropractic, LLC Chiropractor CurrentSince Apr 1, 2021 Accepting new patients

Locations

5555 Odana Rd
Ste 111
Madison, WI 53719
Phone (608) 204-0428

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": "1262563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1528398146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 ODANA RD STE 111",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191281",
            "telephone_number": "608-204-0428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 ODANA RD STE 111",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191281",
            "telephone_number": "608-204-0428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "CASEY",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-04",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4570-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; 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.