Daniel James Wautlet

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1597-012 Issued in WI

Practice address

1071 Cormier Rd
Green Bay, WI 54304-4350

Phone

(920) 499-0123

Fax

(920) 499-5919

NPI assigned

Jul 16, 2006

Sex

Male

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

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Menominee Indian Tribe of WisconsinGroup PAC ID 2668459264, 24 clinicians

Practice addresses (Care Compare)

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.

• Menominee Indian Tribe of Wisconsin

  • Family Medicine Physician
  • Keshena, WI
  • NPI 1568404721
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348531200000",
    "number": "1245257146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1071 CORMIER RD",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543044350",
            "telephone_number": "920-499-0123",
            "fax_number": "920-499-5919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1071 CORMIER RD",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543044350",
            "telephone_number": "920-499-0123",
            "fax_number": "920-499-5919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAUTLET",
        "first_name": "DANIEL",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2012-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "1597-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38764100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Curtis Watson, C.R.N.A., A.P.N.P.
• Jo Ann Watson, M.D.
• Teresa Joanne Watters
• Jill Marie Watzka, RN, BSN
• Diane J Wauters, PT
• Beth M Wavrunek, BS, RDH
• Natoshia Wawiorka, APSW, CSAC
• We All Rise Counseling Services LLC
• We All Rise: African Resource Center Inc
• We Care Senior Care Inc

• 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 Sep 25, 2012; 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.