Individual provider Active NPI

Stephanie Erin Wenig, D.C.

  • Chiropractor
  • Wake Forest, NC
National Provider Identifier
1235608647
Registry record updated Nov 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4997 Issued in NC
Practice address
610 Dr Calvin Jones Hwy # 104
Wake Forest, NC 27587-3100
Phone
(919) 802-7234
NPI assigned
Nov 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4997 NC Primary

Addresses

Primary practice location

610 Dr Calvin Jones Hwy # 104
Wake Forest, NC 27587-3100

Mailing address

610 Dr Calvin Jones Hwy # 104
Wake Forest, NC 27587-3100
Phone (919) 802-7234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181231000217 NC Practitioner - Chiropractic 7012252661 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
K and S Wellness LLCGroup PAC ID 3779729348, 5 clinicians

Practice addresses (Care Compare)

616 Doctor Calvin Jones Hwy
Suite 104
Wake Forest, NC 27587-3106
Phone (919) 761-5158

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4997NCMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
K and S Wellness LLC Chiropractor CurrentSince Oct 20, 2018 Accepting new patients

Locations

616 Dr Calvin Jones Hwy
Ste 104
Wake Forest, NC 27587
Phone (919) 761-5158

610 Dr Calvin Jones Hwy
Ste 104
Wake Forest, NC 27587
Phone (919) 761-5158

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.

NPI Registry JSON

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

{
    "created_epoch": "1542153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542153600000",
    "number": "1235608647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 DR CALVIN JONES HWY # 104",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275873100",
            "telephone_number": "919-802-7234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 DR CALVIN JONES HWY # 104",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275873100",
            "telephone_number": "919-802-7234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENIG",
        "first_name": "STEPHANIE",
        "middle_name": "ERIN",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-14",
        "last_updated": "2018-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wake Forest, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2018; 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.