Organization Active NPI

Puckette Chiropractic & Kinesiology, S.C.

  • Clinic/Center
  • Madison, WI
National Provider Identifier
1861519159
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
3198 Issued in WI
Legal business name
PUCKETTE CHIROPRACTIC & KINESIOLOGY, S.C.
Practice address
8517 Excelsior Dr Ste 300
Madison, WI 53717-2910
Phone
(608) 276-7635
Fax
(608) 276-7728
NPI assigned
Mar 23, 2007
Last updated
Jun 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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

Authorized official

Name
Steven Robert Puckette, DCNPI 1811905565
Title
President
Phone
(608) 698-3149

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 3198 WI Primary

Addresses

Primary practice location

8517 Excelsior Dr Ste 300
Madison, WI 53717-2910

Mailing address

5351 Nobel Dr Unit 326
Fitchburg, WI 53711-4978
Phone (608) 276-7635

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130528000218 WI Part B Supplier - Clinic/Group Practice 6305084674 Receives reassigned benefits from 1 practitioner
Practice locations: Madison, WI

National Provider Directory

National Provider Directory

Locations

6315 Odana Rd
#101
Madison, WI 53719
Phone (608) 276-7635

8517 Excelsior Dr
Ste 300
Madison, WI 53717
Phone (608) 276-7635

5712 Odana Rd
Madison, WI 53719
Phone (608) 276-7635

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780617600000",
    "number": "1861519159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5351 NOBEL DR UNIT 326",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537114978",
            "telephone_number": "608-276-7635",
            "fax_number": "608-276-7728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8517 EXCELSIOR DR STE 300",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537172910",
            "telephone_number": "608-276-7635",
            "fax_number": "608-276-7728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUCKETTE CHIROPRACTIC & KINESIOLOGY, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A",
        "authorized_official_last_name": "PUCKETTE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "608-698-3149",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WI",
            "license": "3198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; 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.