Andrew Treutelaar, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4001012 Issued in WI

Practice address

2444 N Grandview Blvd # B
Waukesha, WI 53188-1695

Phone

(262) 650-0701

Fax

(262) 522-9858

NPI assigned

Oct 5, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 1998

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.

• Waukesha Wellness Way LLC

  • Chiropractor
  • Waukesha, WI
  • NPI 1396107736
  Medicare reassignment NPD
• Waukesha Chiropractic & Rehab

  • Chiropractor
  • Waukesha, WI
  • NPI 1386677409
  NPD (past) Authorized official

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460505600000",
    "number": "1821085754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2444 N GRANDVIEW BLVD # B",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531881695",
            "telephone_number": "262-650-0701",
            "fax_number": "262-522-9858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2444 N GRANDVIEW BLVD # B",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531881695",
            "telephone_number": "262-650-0701",
            "fax_number": "262-522-9858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREUTELAAR",
        "first_name": "ANDREW",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-05",
        "last_updated": "2016-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4001012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821085754",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Transitions & Supportive Services LLC
• Travel Health Partners Wi SC
• Mark W Travers, SOCIAL WORKER
• Katie Ann Travis
• Megan M Trester, MD
• Amanda Trieloff
• Trilogy Health Group LLC
• Elizabeth Troiano
• Ann Han Trotier, M.D.
• Timothy Trotier, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.