Active NPI
Wayne Thomas Enloe, D.C.
- Chiropractor
- Middleton, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3418-012
- 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, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38901500 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3418-012 | WI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Enloe Chiropractic LLC | Chiropractor | Current | 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.
-
- Chiropractor
- Middleton, WI
- NPI 1386843977
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.