Carolyn M Wanken, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3663-012 Issued in WI

Practice address

832 Carmichael Rd
Hudson, WI 54016-7759

Phone

(715) 381-1800

Fax

(715) 381-5234

NPI assigned

Aug 25, 2006

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

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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.

• Hope Chiropractic, LLC

  • Chiropractor
  • Hudson, WI
  • NPI 1881764900
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589932800000",
    "number": "1306953088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "832 CARMICHAEL RD",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540167759",
            "telephone_number": "715-381-1800",
            "fax_number": "715-381-5234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "832 CARMICHAEL RD",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540167759",
            "telephone_number": "715-381-1800",
            "fax_number": "715-381-5234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANKEN",
        "first_name": "CAROLYN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3663-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-1365)
• Jeryn Lee Waldera, BCBA
• Zachary Walgenbach, D.D.S.
• Walgreen Co (Walgreens #15121)
• Terrance Mark Wallace, DC
• Deanna M. Wanzek, PT
• Ward Chiropractic LLC
• Trapper Ward, DC
• Linda Michelle Warner, CCC-SLP
• Barbara Wasson, LAC

• Chiropractor in Hudson, WI
• Providers in Hudson, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; 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.