Jon T Wall, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2233-012 Issued in WI

Practice address

116 Pine St
Mauston, WI 53948-1336

Phone

(608) 847-1888

Fax

(608) 847-1678

NPI assigned

Jul 21, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Align Chiropractic Clinics, LLC

  • Chiropractor
  • Adams, WI
  • NPI 1326916107
  NPD (past)
• Chiropractic and Rehab Center LLC

  • Chiropractor
  • Hillsboro, WI
  • NPI 1174092779
  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1053332650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18669 INNSWOOD RD",
            "city": "NORWALK",
            "state": "WI",
            "postal_code": "546487019",
            "telephone_number": "608-269-0585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 PINE ST",
            "city": "MAUSTON",
            "state": "WI",
            "postal_code": "539481336",
            "telephone_number": "608-847-1888",
            "fax_number": "608-847-1678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALL",
        "first_name": "JON",
        "middle_name": "T",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2233-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38801200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Kay Schwab Vinopal, M.S.
• Brooke Marie Von Arx, PA
• Jodi Lorene Waddell
• Emily Bliss Walden
• Walgreen Co (Walgreens #09008)
• Terri Walling
• Larry L Walls, LICENSED PROFESSIONA
• Jacqueline Rice Weber, OTR
• Kourtnie Lynn Weber
• Lori L. Webster-Dahl, P.T.

• Chiropractor in Mauston, WI
• Providers in Mauston, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.