Active NPI
Ashley Elizabeth Wunderle, DC
- Chiropractor
- Bellefontaine, OH
National Provider Identifier
1063090397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC-05065
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| DC-05065 | OH | MD | Independent 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.