Cory Dean Madison

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5112-12 Issued in WI

Practice address

1251 Scheuring Rd Ste a
De Pere, WI 54115-1003

Phone

(920) 336-3353

NPI assigned

Aug 19, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Tundra Chiropractic, LLC

  • Chiropractor
  • De Pere, WI
  • NPI 1093218745
  Medicare reassignment NPD

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1689040180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 SCHEURING RD STE A",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541151073",
            "telephone_number": "920-336-3353",
            "fax_number": "920-336-3108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 SCHEURING RD STE A",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541151003",
            "telephone_number": "920-336-3353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADISON",
        "first_name": "CORY",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-19",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5112-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Maccarthy, PA-C
• Jessica Machado
• Macht Village Programs
• Mary Macht, LCSW;PH.D
• Angelina Mader
• Kallie Ann Madison, D.C.
• Katie S Mageary, RN
• Ammar Mahmoud, M.D
• Christine Ann Malechek, NP
• Kelly Kathleen Malloy, M.D.

• Chiropractor in De Pere, WI
• Providers in De Pere, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; 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.