Allie Rose Wiseman, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2025040258 Issued in MO

Practice address

409 Meramec Blvd
Eureka, MO 63025-3906

Phone

(636) 429-2024

NPI assigned

Oct 13, 2025

Last updated

Oct 13, 2025By the provider in NPPES

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 MO

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Back on Track Eureka LLCGroup PAC ID 3173037496, 2 clinicians

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Back on Track Eureka, LLC

  dba Back on Track

  • Chiropractor
  • Eureka, MO
  • NPI 1417747783
  Medicare reassignment Care Compare group NPD
• Chiropro of Eureka, LLC

  • Chiropractor
  • Eureka, MO
  • NPI 1801464763
  NPD
• Back on Track Chiropractic, LLC

  • Chiropractor
  • Labadie, MO
  • NPI 1104080688
  NPD (past)

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

{
    "created_epoch": "1760313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1316813801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 MERAMEC BLVD",
            "city": "EUREKA",
            "state": "MO",
            "postal_code": "630253906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 MERAMEC BLVD",
            "city": "EUREKA",
            "state": "MO",
            "postal_code": "630253906",
            "telephone_number": "636-429-2024"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "117 Front St",
            "address_purpose": "LOCATION",
            "city": "Labadie",
            "state": "MO",
            "postal_code": "630551238",
            "country_code": "US",
            "telephone_number": "636-742-3733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WISEMAN",
        "first_name": "ALLIE",
        "middle_name": "ROSE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-13",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2025040258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas B Wildman, PT, DPT
• Justine Alane Wiles, PT, DPT
• Shannon Elizabeth Wilson, OTR/L
• Sarah Winkeler, D.O.
• Daniel Paul Winkelmann III, RPH
• Ellen L Witte
• Wno Healthpartners, LLC (Eureka Urgent Care)

• Chiropractor in Eureka, MO
• Providers in Eureka, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; 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.