Active NPI
Michael Alexander Budjak, DC
- Chiropractor
- Sheboygan, WI
National Provider Identifier
1689384802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6037-12
- Practice address
- 4000 Enterprise Dr
Sheboygan, WI 53083-2245 - Phone
- (920) 459-9090
- Fax
- (920) 459-7426
- NPI assigned
- Nov 29, 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 | 6037-12 | WI | Primary |
Addresses
Primary practice location
4000 Enterprise Dr
Sheboygan, WI 53083-2245
Mailing address
11009 N Cedarburg Rd
Mequon, WI 53092-4305
Phone (563) 549-2015
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
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1414 N Taylor Dr
Sheboygan, WI 53081-1988
Phone (920) 320-2436
1650 S 41St St
Manitowoc, WI 54220-7316
Phone (920) 320-2011
4000 Enterprise Dr
Sheboygan, WI 53083-2245
Phone (920) 459-9090
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creekside Chiropractic and Rehabilitation, LTD. | Chiropractor | Current | Accepting new patients |
Locations
4000 Enterprise Dr
Sheboygan, WI 53083
Phone (920) 286-2376
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.
-
- Chiropractor
- Sheboygan, WI
- NPI 1801076872
-
- Multi-Specialty Clinic/Center
- Manitowoc, WI
- NPI 1437829975
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707264000000",
"number": "1689384802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11009 N CEDARBURG RD",
"city": "MEQUON",
"state": "WI",
"postal_code": "530924305",
"telephone_number": "563-549-2015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 ENTERPRISE DR",
"city": "SHEBOYGAN",
"state": "WI",
"postal_code": "530832245",
"telephone_number": "920-459-9090",
"fax_number": "920-459-7426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUDJAK",
"first_name": "MICHAEL",
"middle_name": "ALEXANDER",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-11-29",
"last_updated": "2024-02-07",
"certification_date": "2024-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "6037-12",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sheboygan, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.