Individual provider Active NPI

Erik Thomas Butzen, D.C

  • Chiropractor
  • Howards Grove, WI
National Provider Identifier
1740637784
Registry record updated May 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5186-12 Issued in WI
Practice address
516 S Wisconsin Dr
Howards Grove, WI 53083-1261
Phone
(920) 565-3922
NPI assigned
May 19, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5186-12 WI Primary

Addresses

Primary practice location

516 S Wisconsin Dr
Howards Grove, WI 53083-1261

Mailing address

516 S Wisconsin Dr
Howards Grove, WI 53083-1261
Phone (920) 565-3922

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160601000577 WI Practitioner - Chiropractic 2860782018 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Schubbe Family Chiropractic LTDGroup PAC ID 2668448879, 7 clinicians

Practice addresses (Care Compare)

2200 S Kensington Dr
Appleton, WI 54915-4144
Phone (920) 738-0200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Schubbe Family Chiropractic LTD Chiropractor CurrentSince Feb 21, 2022 Accepting new patients
Radiology Associates of the Fox Valley, SC PastSince Feb 21, 2022 Accepting new patients

Locations

2200 S Kensington Dr
Appleton, WI 54915
Phone (920) 738-0200

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.

NPI Registry JSON

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

{
    "created_epoch": "1463616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463616000000",
    "number": "1740637784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 S WISCONSIN DR",
            "city": "HOWARDS GROVE",
            "state": "WI",
            "postal_code": "530831261",
            "telephone_number": "920-565-3922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 S WISCONSIN DR",
            "city": "HOWARDS GROVE",
            "state": "WI",
            "postal_code": "530831261",
            "telephone_number": "920-565-3922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTZEN",
        "first_name": "ERIK",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-19",
        "last_updated": "2016-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5186-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Howards Grove, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2016; 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.