Derek M Thiel, DC

Primary specialty

Nutrition ChiropractorTaxonomy code 111NN1001X

License

4880-12 Issued in WI

Practice address

14335 W Capitol Dr Ste 300
Brookfield, WI 53005-2398

Phone

(262) 439-9506

NPI assigned

Apr 4, 2012

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

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Chiro One Wellness Center of Brookfield LLC

  • Physical Medicine & Rehabilitation Physician
  • Brookfield, WI
  • NPI 1386016384
  Medicare reassignment NPD
• Chiro One Wellness Center of Waukesha, LLC

  • Chiropractor
  • Waukesha, WI
  • NPI 1265806236
  Medicare reassignment
• Davidson Family Chiropractic LLC

  • Chiropractor
  • Waukesha, WI
  • NPI 1780905133
  NPD
• Freedom Physical Therapy Services SC

  • Physical Therapist
  • Fox Point, WI
  • NPI 1063406544
  NPD
• Allied Health of Wisconsin, SC

  • Chiropractor
  • Wausau, WI
  • NPI 1487605051

  Nutrition

  NPD (past)

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

{
    "created_epoch": "1333497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1114283157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 BUTTERFIELD RD STE 301N",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231266",
            "telephone_number": "630-468-1824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14335 W CAPITOL DR STE 300",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530052398",
            "telephone_number": "262-439-9506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIEL",
        "first_name": "DEREK",
        "middle_name": "M",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-04",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "WI",
            "license": "4880-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Vision Therapy Center, Inc.
• The Visions Group, Inc.
• Glen Theis, DDS
• Lisa Ann Theis, OTR
• Alexandra G Theodosis, DNP, APNP, FNP-C
• Christen Joanne Thieman, PT, DPT, OCS
• Kirsten Thiemke, PHD
• Thomas C. Kelley DDS MSD LLC
• Thomas J. Melin, M.D., S.C.
• Ellen Alexandra Thomas, PC-IT

• Nutrition Chiropractor in Brookfield, WI
• Providers in Brookfield, WI by specialty
• Nutrition Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; 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.