Amy M Dahlke, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3638-012 Issued in WI

Practice address

1027 S 17TH Ave Ste C
Wausau, WI 54401-5761

Phone

(153) 559-0097

Fax

(715) 298-0841

NPI assigned

Aug 16, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Amy M Endru Former name

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 1999

Medicare assignment

May accept Medicare assignment

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.

• Aim Chiropractic LLC

  • Chiropractor
  • Wausau, WI
  • NPI 1235721077
  Medicare reassignment NPD Authorized official
• Clifford Chiropractic Rehabilitation Center

  • Chiropractor
  • Wausau, WI
  • NPI 1417422544
  NPD
• Allied Health of Wisconsin, SC

  • Chiropractor
  • Wausau, WI
  • NPI 1487605051
  NPD (past)
• Apple Clinic SC

  • Chiropractor
  • Manitowoc, WI
  • NPI 1275566606
  NPD (past)
• Sheboygan Chiro Plus LLC

  • Chiropractor
  • Sheboygan, WI
  • NPI 1710637731
  NPD (past)

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612483200000",
    "number": "1164535175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1027 S 17TH AVE STE C",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544015761",
            "telephone_number": "715-355-9009",
            "fax_number": "715-298-0841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 S 17TH AVE STE C",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544015761",
            "telephone_number": "153-559-0097",
            "fax_number": "715-298-0841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHLKE",
        "first_name": "AMY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2021-02-05",
        "certification_date": "2021-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3638-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "389-23000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "ENDRU",
            "middle_name": "M",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• James M Cygan, MD
• Tara Jean Czarnezki, CST
• Jennifer Nicole D'Acquisto, OD
• Jason D'Antonio, P.T.
• Erin Renee Daggett, O.D.
• Michael G Dahlke, AU.D.
• Linda Nancy Dalland
• Bridget Daly, OTR/L
• Shelley R. Danielson, C.R.N.A.
• Dawn Daris, RN

• All providers in Wausau, WI
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.