Individual provider Active NPI

Linda Dehnert, D.C.

  • Chiropractor
  • Brookfield, WI
National Provider Identifier
1144366238
Registry record updated Mar 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2404-012 Issued in WI
Practice address
15400 W Capitol Dr
Suite 202
Brookfield, WI 53005-2661
Phone
(262) 754-1211
Fax
(262) 754-2911
NPI assigned
Jan 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2404-012 WI Primary

Addresses

Primary practice location

15400 W Capitol Dr
Suite 202
Brookfield, WI 53005-2661

Mailing address

825A S Main St
West Bend, WI 53095-4633
Phone (262) 754-1211

Other identifiers 1

IdentifierTypeStateIssuer
38920700MedicaidWI

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

State licenses

LicenseStateTypeSpecialty
2404-012WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
River Shores Chiropractic SC Chiropractor PastSince Mar 2, 2016 Accepting new patients
Schaarschmidt Chiropractic Health Center LTD Chiropractor Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552867200000",
    "number": "1144366238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825A S MAIN ST",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530954633",
            "telephone_number": "262-754-1211",
            "fax_number": "262-754-2911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15400 W CAPITOL DR",
            "address_2": "SUITE 202",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530052661",
            "telephone_number": "262-754-1211",
            "fax_number": "262-754-2911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEHNERT",
        "first_name": "LINDA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2019-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2404-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38920700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.