Mateo E Infusino, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6237-12 Issued in WI

Practice address

5024 Green Bay Rd Ste 100
Kenosha, WI 53144-1702

Phone

(262) 657-8434

Fax

(262) 657-8435

NPI assigned

Jan 23, 2025

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

Medicare enrollment (NPD)

Enrolled

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.

• Bedogne Chiropractic LLC

  • Chiropractor
  • Kenosha, WI
  • NPI 1801082813
  NPD

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

{
    "created_epoch": "1737590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1700698024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5024 GREEN BAY RD STE 100",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531441702",
            "telephone_number": "262-657-8434",
            "fax_number": "262-657-8435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5024 GREEN BAY RD STE 100",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531441702",
            "telephone_number": "262-657-8434",
            "fax_number": "262-657-8435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INFUSINO",
        "first_name": "MATEO",
        "middle_name": "E",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-23",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "6237-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.