Individual provider Active NPI

Ashley Elizabeth Wunderle, DC

  • Chiropractor
  • Bellefontaine, OH
National Provider Identifier
1063090397
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-05065 Issued in OH
Practice address
119 N Heather Hill Dr
Bellefontaine, OH 43311-2701
Phone
(419) 967-4321
NPI assigned
Mar 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Medical Examiner Chiropractor 111NI0013X DC-05065 OH
Internist Chiropractor 111NI0900X DC-05065 OH
Neurology Chiropractor 111NN0400X DC-05065 OH
Nutrition Chiropractor 111NN1001X DC-05065 OH
Pediatric Chiropractor 111NP0017X DC-05065 OH
Radiology Chiropractor 111NR0200X DC-05065 OH
Rehabilitation Chiropractor 111NR0400X DC-05065 OH
Thermography Chiropractor 111NT0100X DC-05065 OH
Occupational Health Chiropractor 111NX0100X DC-05065 OH
Orthopedic Chiropractor 111NX0800X DC-05065 OH
Chiropractor 111N00000X DC-05065 OH Primary

Addresses

Primary practice location

119 N Heather Hill Dr
Bellefontaine, OH 43311-2701

Mailing address

119 N Heather Hill Dr
Bellefontaine, OH 43311-2701
Phone (419) 967-4321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DC-05065OHMDIndependent Medical Examiner Chiropractor

NPI Registry JSON

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1063090397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 N HEATHER HILL DR",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433112701",
            "telephone_number": "419-967-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 N HEATHER HILL DR",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433112701",
            "telephone_number": "419-967-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WUNDERLE",
        "first_name": "ASHLEY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-30",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NI0013X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "OH",
            "license": "DC-05065",
            "primary": false
        },
        {
            "code": "111NI0900X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Internist",
            "state": "OH",
            "license": "DC-05065",
            "primary": false
        },
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "OH",
            "license": "DC-05065",
            "primary": false
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "OH",
            "license": "DC-05065",
            "primary": false
        },
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "OH",
            "license": "DC-05065",
            "primary": false
        },
        {
            "code": "111NR0200X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Radiology",
            "state": "OH",
            "license": "DC-05065",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "OH",
            "license": "DC-05065",
            "primary": false
        },
        {
            "code": "111NT0100X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Thermography",
            "state": "OH",
            "license": "DC-05065",
            "primary": false
        },
        {
            "code": "111NX0100X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Occupational Health",
            "state": "OH",
            "license": "DC-05065",
            "primary": false
        },
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "OH",
            "license": "DC-05065",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "DC-05065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellefontaine, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; 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.