Kevin Herrle, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3576-012 Issued in WI

Practice address

215 Grand Ave
Wausau, WI 54403-6218

Phone

(715) 846-4333

NPI assigned

Dec 12, 2006

Last updated

Nov 16, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Ajm Chiropractic S.C.

  • Chiropractor
  • Brookfield, WI
  • NPI 1275768400
  NPD (past)
• Albrecht Chiropractic Center, S.C.

  • Chiropractor
  • Waukesha, WI
  • NPI 1811040066
  NPD (past)

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1053472217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 GRAND AVE",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544036218",
            "telephone_number": "715-846-3444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 GRAND AVE",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544036218",
            "telephone_number": "715-846-4333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRLE",
        "first_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2022-11-16",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3576-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "na",
            "affiliation": "N",
            "address_1": "215 Grand Ave",
            "city": "Wausau",
            "state": "WI",
            "country_code": "US",
            "postal_code": "544036218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Benjamin James Herdrich, MD
• Anne Margaret B Hernaez, MD
• Jessica Hernandez, RN
• Marissa J Hernandez, CRNA
• Mary Herrick, O.T.R.
• Paul Hesse, PH.D.
• Dixie Hettinga, PT
• Brooke Heuss
• Nada Danielle Hieb, PT
• Amy A Higgins, NP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.