Individual provider Active NPI

Taylor B Schregardus, DC

  • Chiropractor
  • Fond Du Lac, WI
National Provider Identifier
1841048956
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6184 Issued in WI
Practice address
924 Forest Ave # 101
Fond Du Lac, WI 54935-3808
Phone
(920) 921-4130
Fax
(920) 921-4331
NPI assigned
May 13, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6184 WI Primary

Addresses

Primary practice location

924 Forest Ave # 101
Fond Du Lac, WI 54935-3808

Mailing address

105 Clarmar Dr
Sun Prairie, WI 53590-2675
Phone (608) 318-5929

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240529000186 WI Practitioner - Chiropractic 0143662734 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

708 W Ryan St
Brillion, WI 54110-1045

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Groskopp Chiropractic, SC CurrentSince Jan 6, 2026 Accepting new patients

Locations

708 W Ryan St
Brillion, WI 54110
Phone (920) 756-2151

Organizations & group practices 1

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": "1715558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1841048956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 CLARMAR DR",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535902675",
            "telephone_number": "608-318-5929",
            "fax_number": "608-318-5922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 FOREST AVE # 101",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549353808",
            "telephone_number": "920-921-4130",
            "fax_number": "920-921-4331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHREGARDUS",
        "first_name": "TAYLOR",
        "middle_name": "B",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-13",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "6184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fond Du Lac, WI

Sources for this page

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

Verify at the official NPI Registry.