Sarah Fadel Wiegand, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6033-12 Issued in WI

Practice address

2672 N Packerland Dr
Green Bay, WI 54303-4856

Phone

(920) 883-0270

NPI assigned

Jan 16, 2023

Last updated

Jan 16, 2023By the provider in NPPES

Sex

Female

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wiegand Chiropractic LLC

  dba Wiegand Chiropractic

  • Chiropractor
  • Green Bay, WI
  • NPI 1356056543
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1673827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673827200000",
    "number": "1144935131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2672 N PACKERLAND DR",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543034856",
            "telephone_number": "920-883-0270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2672 N PACKERLAND DR",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543034856",
            "telephone_number": "920-883-0270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEGAND",
        "first_name": "SARAH",
        "middle_name": "FADEL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-16",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "6033-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Wied, DPT
• Alicia Wiedor
• Trystan Richard Wiedow, DDS
• Wiegand Chiropractic LLC (Wiegand Chiropractic)
• Erik Scott Wiegand, DC
• Kyle Glenn Wiegel, PHARMD, MBA
• Dannel Vernon Wielgus, D.D.S.
• Kevin P Wienkers, MD
• Seth Wiersma
• Ekmini Wijesinghe, MD

• Chiropractor in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; 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.