TUNDRA CHIROPRACTIC, LLC
NPI 1093218745
Chiropractor in De Pere, WI

Active since March 08, 2018
1251 SCHEURING RD, DE PERE, WI 54115(920) 336-3353 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 16, 2018, May 8, 2018, Mar 16, 2018 and 1 more (4 updates tracked since 2018).

About Tundra Chiropractic, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TUNDRA CHIROPRACTIC, LLC (NPI 1093218745) is a healthcare organization registered as a chiropractor in De Pere, Wisconsin and active in the NPI registry since March 2018. The organization lists Kallie Ann Madison, Chiropractor, as its authorized official.

NPPES Registry Identity

NPI1093218745
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameTUNDRA CHIROPRACTIC, LLC
Location Address1251 SCHEURING RDDe Pere, WI 54115-1003
Mailing Address2150 S Courtland DrGreen Bay, WI 54313-9360 · (920) 336-3353
Organization SubpartNo
Authorized OfficialKallie Ann MadisonChiropractor · (920) 336-3353
Enumeration DateMarch 8, 2018
Last NPPES UpdateJune 16, 20184 updates tracked since enumeration
✔ NPI 1093218745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Licenses✔ Licensed in WI · 5115-12✔ Licensed in WI · 5112-12
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
1251 SCHEURING RD, De Pere, WI 54115

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tundra Chiropractic, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Tundra Chiropractic, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1689040180
1251 SCHEURING RD STE A
De Pere, WI 54115
(920) 336-3353
✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tundra Chiropractic, LLC's NPI number?

The NPI number for Tundra Chiropractic, LLC is 1093218745. It was assigned to this organization in the NPPES registry on March 8, 2018.

Where is Tundra Chiropractic, LLC located?

Tundra Chiropractic, LLC is located at 1251 Scheuring Rd, De Pere, WI 54115. The listed phone number is (920) 336-3353.

What is Tundra Chiropractic, LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Tundra Chiropractic, LLC enrolled in Medicare?

Yes. Tundra Chiropractic, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tundra Chiropractic, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Tundra Chiropractic, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Tundra Chiropractic, LLC was last updated on June 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.