Individual provider Active NPI

Kati Jean Ghess, DC

  • Chiropractor
  • Greenwood, WI
National Provider Identifier
1639695745
Registry record updated Oct 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5297-12 Issued in WI
Practice address
124 N Main St
Greenwood, WI 54437-9419
Phone
(715) 575-8418
NPI assigned
Aug 21, 2017
Last updated
Oct 5, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5297-12 WI Primary

Addresses

Primary practice location

124 N Main St
Greenwood, WI 54437-9419

Mailing address

PO Box 217
Greenwood, WI 54437-0217
Phone (715) 267-7000

Other names 1

  • Dr. Kati Jean Smith Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171027000426 WI Practitioner - Chiropractic 8820364367 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

124 N Main St
Greenwood, WI 54437-9419
Phone (715) 267-7000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5297-12WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
East Fountain Chiropractic LLC Chiropractor CurrentSince Oct 5, 2017 Accepting new patients
Footprints in Time Midwifery Services LLC CurrentSince Nov 24, 2021 Accepting new patients

Locations

124 N Main St
Greenwood, WI 54437
Phone (715) 267-7000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1503273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507161600000",
    "number": "1639695745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 217",
            "city": "GREENWOOD",
            "state": "WI",
            "postal_code": "544370217",
            "telephone_number": "715-267-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 N MAIN ST",
            "city": "GREENWOOD",
            "state": "WI",
            "postal_code": "544379419",
            "telephone_number": "715-575-8418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHESS",
        "first_name": "KATI",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-21",
        "last_updated": "2017-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5297-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATI",
            "last_name": "SMITH",
            "middle_name": "JEAN",
            "prefix": "DR.",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greenwood, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2017; 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.