Organization Active NPI

Wiegand Chiropractic LLC

Doing business as Wiegand Chiropractic

  • Chiropractor
  • Green Bay, WI
National Provider Identifier
1356056543
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
WIEGAND CHIROPRACTIC LLC
Doing business as
Wiegand Chiropractic
Practice address
2672 N Packerland Dr
Green Bay, WI 54303-4856
Phone
(920) 786-2888
NPI assigned
Jan 23, 2023
Last updated
Jan 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Authorized official

Name
Dr. Sarah Wiegand, DCNPI 1144935131
Title
Owner
Phone
(920) 786-2888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary

Addresses

Primary practice location

2672 N Packerland Dr
Green Bay, WI 54303-4856

Mailing address

2672 N Packerland Dr
Green Bay, WI 54303-4856
Phone (920) 786-2888

Other names 1

  • Wiegand Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230310000450 WI Part B Supplier - Clinic/Group Practice 0143693275 Receives reassigned benefits from 2 practitioners
Practice locations: Green Bay, WI

National Provider Directory

National Provider Directory

Locations

2672 N Packerland Dr
Green Bay, WI 54303
Phone (920) 786-2888

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674432000000",
    "number": "1356056543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2672 N PACKERLAND DR",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543034856",
            "telephone_number": "920-786-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2672 N PACKERLAND DR",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543034856",
            "telephone_number": "920-786-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIEGAND CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-21",
        "status": "A",
        "authorized_official_last_name": "WIEGAND",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-786-2888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wiegand Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.