Kurtis James Siemsen, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301401215 Issued in MI

Practice address

820 Geneva Pkwy N Ste 105
Lake Geneva, WI 53147-4562

Phone

(262) 248-6700

NPI assigned

Mar 22, 2021

Last updated

Jan 28, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Excel Family Chiropractic and Wellness Inc

  • Chiropractor
  • Lake Geneva, WI
  • NPI 1154510519
  NPD

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

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1851977789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MADISON ST",
            "city": "NEW BUFFALO",
            "state": "MI",
            "postal_code": "49117",
            "telephone_number": "269-469-1310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 GENEVA PKWY N STE 105",
            "city": "LAKE GENEVA",
            "state": "WI",
            "postal_code": "531474562",
            "telephone_number": "262-248-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEMSEN",
        "first_name": "KURTIS",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-22",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301401215",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5621-12",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCEL FAMILY CHIROPRACTIC",
            "identifier": "1154510519",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1154510519",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "excelfamilychiro.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "820 Geneva Pkwy N Ste 105",
            "city": "Lake Geneva",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531474562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Christy D. Short, DO
• Blenda Shulka, LPN
• Marni B Shumaker, RD, CD
• Henry A. Sibbing, J.D., M.S.
• Jessica M Siczkowycz, CPM, LM
• Brian Jay Silverstein, MD
• Craig Robert Slapinski, D.C.
• Kylie Lynn Smith
• Megan K Smith, PHARM D
• Jason S So, DO

• Chiropractor in Lake Geneva, WI
• Providers in Lake Geneva, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.