Von P Wise, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC005339L Issued in PA

Practice address

5 W Main St
Lock Haven, PA 17745-1243

Phone

(570) 748-7462

Fax

(570) 748-8910

NPI assigned

Oct 21, 2005

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

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Wise Chiropractic & Rehabilitation Center Inc

  • Chiropractor
  • Lock Haven, PA
  • NPI 1316936602
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1073502092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 W MAIN ST",
            "city": "LOCK HAVEN",
            "state": "PA",
            "postal_code": "177451243",
            "telephone_number": "570-748-7462",
            "fax_number": "570-748-8910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 W MAIN ST",
            "city": "LOCK HAVEN",
            "state": "PA",
            "postal_code": "177451243",
            "telephone_number": "570-748-7462",
            "fax_number": "570-748-8910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISE",
        "first_name": "VON",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-21",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC005339L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014136130003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER",
            "identifier": "14952",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY",
            "identifier": "806022",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amiya Summer Wilt
• Bobbi Winn, COTA/L
• Louis Sands Winner Jr., DDS
• Wise Chiropractic & Rehabilitation Center Inc
• Robert C Wise II, D.C.
• Samantha Ann Witner, CRNP
• Rebecca Melissa Wright, L.P.C.
• Aud Elaine Yearick, LMT
• James F. Young, M.D.
• Brett Zachman

• Chiropractor in Lock Haven, PA
• Providers in Lock Haven, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.