Individual provider Active NPI

Anthony Skemp, D.C.

  • Chiropractor
  • Burlington, WI
National Provider Identifier
1629499124
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4918-12 Issued in WI
Practice address
100 W Chestnut St
Burlington, WI 53105-1203
Phone
(563) 543-3758
NPI assigned
Dec 31, 2013
Reactivated
Aug 17, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 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 4918-12 WI Primary

Addresses

Primary practice location

100 W Chestnut St
Burlington, WI 53105-1203

Mailing address

100 W Chestnut St
Burlington, WI 53105-1203
Phone (563) 543-3758

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140605001788 WI Practitioner - Chiropractic 8426272709 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2012
Medicare assignment
May accept Medicare assignment
Group practices
E F Chiropractic IncGroup PAC ID 2163826611, 2 clinicians

Practice addresses (Care Compare)

793 E Geneva St
Elkhorn, WI 53121-2303
Phone (262) 379-1800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4918-12WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
E F Chiropractic Inc Chiropractor CurrentSince Jun 1, 2021 Accepting new patients

Locations

793 E Geneva St
Elkhorn, WI 53121
Phone (262) 379-1800

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": "1388448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1629499124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W CHESTNUT ST",
            "city": "BURLINGTON",
            "state": "WI",
            "postal_code": "531051203",
            "telephone_number": "563-543-3758",
            "fax_number": "262-379-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W CHESTNUT ST",
            "city": "BURLINGTON",
            "state": "WI",
            "postal_code": "531051203",
            "telephone_number": "563-543-3758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKEMP",
        "first_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-12-31",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "deactivation_date": "2021-06-21",
        "reactivation_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4918-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.