Individual provider Active NPI

Dominic Samuel Laspisa

  • Chiropractor
  • Waukesha, WI
National Provider Identifier
1063203404
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6309-12 Issued in WI
Practice address
20900 Swenson Dr Ste 650
Waukesha, WI 53186-2077
Phone
(414) 600-1795
NPI assigned
May 15, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6309-12 WI Primary

Addresses

Primary practice location

20900 Swenson Dr Ste 650
Waukesha, WI 53186-2077

Mailing address

10590 W Cortez Cir Apt 90-34
Franklin, WI 53132-2902
Phone (847) 507-2459

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250529001390 WI Practitioner - Chiropractic 2860911161 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Neurologic Wellness Institute, LLC CurrentSince Jun 1, 2025 Accepting new patients

Locations

199 S Addison Rd
Ste 106
Wood Dale, IL 60191
Phone (630) 766-1552

20900 Swenson Dr
Ste 650
Waukesha, WI 53186
Phone (414) 600-1795

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1747267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1063203404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10590 W CORTEZ CIR APT 90-34",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531322902",
            "telephone_number": "847-507-2459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20900 SWENSON DR STE 650",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531862077",
            "telephone_number": "414-600-1795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASPISA",
        "first_name": "DOMINIC",
        "middle_name": "SAMUEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-15",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "6309-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukesha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; 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.