Kira Alysse Wiemers, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6178-12 Issued in WI

Practice address

1505 Springdale St
Mount Horeb, WI 53572-2069

Phone

(608) 437-5585

NPI assigned

Mar 14, 2024

Last updated

Mar 14, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Kira Alysse Vancleve Former name

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2024

Medicare assignment

May accept Medicare assignment

Group practices

CS Gonstead Chiropractic Foundation IncGroup PAC ID 7719955335, 2 clinicians

Practice addresses (Care Compare)

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.

• C.S. Gonstead Chiropractic Foundation, Inc

  dba Gonstead Clinic of Chiropractic

  • Chiropractor
  • Mount Horeb, WI
  • NPI 1629003017
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1710374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1043079056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 SPRINGDALE ST",
            "city": "MOUNT HOREB",
            "state": "WI",
            "postal_code": "535722069",
            "telephone_number": "608-437-5585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 SPRINGDALE ST",
            "city": "MOUNT HOREB",
            "state": "WI",
            "postal_code": "535722069",
            "telephone_number": "608-437-5585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEMERS",
        "first_name": "KIRA",
        "middle_name": "ALYSSE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-14",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "6178-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIRA",
            "last_name": "VANCLEVE",
            "middle_name": "ALYSSE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Melissa J Walden, LPC
• Walgreen Co (Walgreens #11648)
• Erin I Warpinski, PHARM D
• Charles Robert Wessels, M.D.
• Shelby L Whitfield
• Roland D Wilson, DDS
• Dale Ernest Winters, PTA
• Wisconsin Illinois Senior Housing Inc. (Ingleside Manor)
• Wisconsin Illinois Senior Housing, Inc. (Ingleside Manor)
• James G Wollet, PT

• Chiropractor in Mount Horeb, WI
• Providers in Mount Horeb, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; 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.