David Leslie Wick, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4578 Issued in MN

Practice address

105 New England Place
Suite 250
Stillwater, MN 55082-6783

Phone

(651) 342-2083

Fax

(651) 342-2036

NPI assigned

Jul 24, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Leif Erik Schley DC LLC

  • Chiropractor
  • Stillwater, MN
  • NPI 1184823890
  NPD (past)

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418256000000",
    "number": "1154521334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 NEW ENGLAND PLACE",
            "address_2": "SUITE 250",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550826783",
            "telephone_number": "651-342-2083",
            "fax_number": "651-342-2036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 NEW ENGLAND PLACE",
            "address_2": "SUITE 250",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550826783",
            "telephone_number": "651-342-2083",
            "fax_number": "651-342-2036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICK",
        "first_name": "DAVID",
        "middle_name": "LESLIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-24",
        "last_updated": "2014-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura McKee Welp, LICSW, LADC
• Chad Joseph Wert, D.D.S
• Donald Walter Theisen Wessel, MD
• Kristin West, PT
• Patricia J Whitney, PT
• Jenna Wieden, PHD
• Nancy A Wiedmeyer, LICSW
• Rachel Wieneke, MA, CCC-SLP
• Carolyn R Wiger, LADC
• Mary Elizabeth Wilkening, LICSW

• Chiropractor in Stillwater, MN
• Providers in Stillwater, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2014; 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.