Wingert Chiropractic DC PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

007105 Issued in IA

Legal business name

WINGERT CHIROPRACTIC DC PC

Practice address

608 Main St
Dike, IA 50624-7723

Phone

(319) 983-4160

Fax

(319) 983-4068

NPI assigned

Aug 25, 2008

Organization subpart

No

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

Authorized official

Name

Marc Wingert, D.C.NPI 1033373428

Title

Owner

Phone

(319) 983-4160

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marc Wingert, D.C.

  • Chiropractor
  • Dike, IA
  • NPI 1033373428

  IA

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1219622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282089600000",
    "number": "1104073873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 MAIN ST",
            "city": "DIKE",
            "state": "IA",
            "postal_code": "506247723",
            "telephone_number": "319-983-4160",
            "fax_number": "319-983-4068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 MAIN ST",
            "city": "DIKE",
            "state": "IA",
            "postal_code": "506247723",
            "telephone_number": "319-983-4160",
            "fax_number": "319-983-4068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINGERT CHIROPRACTIC DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-25",
        "last_updated": "2010-08-18",
        "status": "A",
        "authorized_official_last_name": "WINGERT",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-983-4160",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104073873",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dike New Hartford Community School District
• Joseph E Kinskey, MD
• Haylee Luna
• Nicole Roberts
• RV Scooter Sals
• Marc Wingert, D.C.

• All providers in Dike, IA
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2010; 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.