Active NPI
Collin Robert McCulloch, DC
- Chiropractor
- Mauston, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6003-12
- Practice address
- 115 E State St
Mauston, WI 53948-1344 - Phone
- (608) 524-2616
- Fax
- (608) 524-3697
- NPI assigned
- Jul 7, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 6003-12 | WI | Primary |
Addresses
Primary practice location
115 E State St
Mauston, WI 53948-1344
Mailing address
115 E State St
Mauston, WI 53948-1344
Phone (608) 524-2616
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
149 N Main St
Adams, WI 53910-9805
Phone (608) 339-4600
420 Viking Dr
Reedsburg, WI 53959-1675
Phone (608) 524-2616
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6003-12 | WI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Align Chiropractic Clinics, LLC | Chiropractor | Current | Accepting new patients |
| Anderson Chiropractic Office,S.C. | Chiropractor | Current | Accepting new patients |
| Anderson Chiropractic Office, SC | Chiropractor | Current | Accepting new patients |
| Tried and Truce Chiropractic, LLC | Past | Accepting new patients |
Locations
149 N Main St
Adams, WI 53910
Phone (608) 339-4600
115 E State St
Mauston, WI 53948
Phone (608) 524-2616
420 Viking Dr
Reedsburg, WI 53959
Phone (608) 524-2616
Organizations & group practices 4
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.
-
- Chiropractor
- Adams, WI
- NPI 1326916107
-
- Chiropractor
- Mauston, WI
- NPI 1063517605
-
- Clinic/Center
- Prairie Du Sac, WI
- NPI 1730865007
-
- Chiropractor
- Mauston, WI
- NPI 1255614301
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782604800000",
"number": "1629701552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 E STATE ST",
"city": "MAUSTON",
"state": "WI",
"postal_code": "539481344",
"telephone_number": "608-524-2616",
"fax_number": "608-524-3697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 E STATE ST",
"city": "MAUSTON",
"state": "WI",
"postal_code": "539481344",
"telephone_number": "608-524-2616",
"fax_number": "608-524-3697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCULLOCH",
"first_name": "COLLIN",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-07-07",
"last_updated": "2026-06-28",
"certification_date": "2026-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "6003-12",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mauston, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2026; 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.