Individual provider Active NPI

Wayne Thomas Enloe, D.C.

  • Chiropractor
  • Middleton, WI
National Provider Identifier
1023177649
Registry record updated Jul 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3418-012 Issued in WI
Practice address
1424 N High Point Rd
Suite 201
Middleton, WI 53562-3682
Phone
(608) 831-0453
Fax
(608) 836-4884
NPI assigned
Dec 8, 2006
Last updated
Jul 28, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3418-012 WI Primary

Addresses

Primary practice location

1424 N High Point Rd
Suite 201
Middleton, WI 53562-3682

Mailing address

1600 N High Point Rd
Middleton, WI 53562-3635
Phone (608) 831-0453

Other identifiers 1

IdentifierTypeStateIssuer
38901500MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050613000034 WI Practitioner - Chiropractic 8022051069 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6417 Normandy LN
Suite 200
Madison, WI 53719-1184
Phone (608) 831-0453

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3418-012WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Enloe Chiropractic LLC Chiropractor CurrentSince May 2, 2005 Accepting new patients
Mauri Holdings LTD Chiropractor Past Accepting new patients

Locations

6417 Normandy Ln
Ste 200
Madison, WI 53719
Phone (608) 831-0453

1424 N High Point Rd
Ste 201
Middleton, WI 53562
Phone (608) 836-3235

1600 N High Point Rd
Middleton, WI 53562
Phone (608) 831-0453

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501200000000",
    "number": "1023177649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 N HIGH POINT RD",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535623635",
            "telephone_number": "608-831-0453",
            "fax_number": "608-836-4884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 N HIGH POINT RD",
            "address_2": "SUITE 201",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535623682",
            "telephone_number": "608-831-0453",
            "fax_number": "608-836-4884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENLOE",
        "first_name": "WAYNE",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2017-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3418-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38901500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2017; 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.