Active NPI
Wayne A Christianson, DC
- Chiropractor
- Pigeon Falls, WI
National Provider Identifier
1114991502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2179
- Practice address
- 40195 Winsand Drive
Suite 4 Box 425
Pigeon Falls, WI 54760-0425 - Phone
- (715) 983-5500
- NPI assigned
- Feb 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2179 | WI | Primary |
Addresses
Primary practice location
40195 Winsand Drive
Suite 4 Box 425
Pigeon Falls, WI 54760-0425
Mailing address
9749 Kahl Rd
Black Earth, WI 53515-9516
Phone (715) 983-5500
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| WCDC LLC | Chiropractor | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Chiropractor
- Osseo, WI
- NPI 1548309529
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1498608000000",
"number": "1114991502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9749 KAHL RD",
"city": "BLACK EARTH",
"state": "WI",
"postal_code": "535159516",
"telephone_number": "715-983-5500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40195 WINSAND DRIVE",
"address_2": "SUITE 4 BOX 425",
"city": "PIGEON FALLS",
"state": "WI",
"postal_code": "547600425",
"telephone_number": "715-983-5500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTIANSON",
"first_name": "WAYNE",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-14",
"last_updated": "2017-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "2179",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pigeon Falls, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.