Individual provider Active NPI

Robert Franklin Wensch, D.C.

  • Chiropractor
  • Lehigh Acres, FL
National Provider Identifier
1356489686
Registry record updated Mar 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9327 Issued in FL
Practice address
4669 Varsity Cir
Lehigh Acres, FL 33971-2064
Phone
(239) 246-3791
NPI assigned
Feb 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH9327 FL Primary

Addresses

Primary practice location

4669 Varsity Cir
Lehigh Acres, FL 33971-2064

Mailing address

5705 Lee Blvd
Ste 9
Lehigh Acres, FL 33971-6342
Phone (239) 561-1770

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120531000375 FL Practitioner - Chiropractic 6800063389 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peak Performance ChiropracticGroup PAC ID 7517184658, 2 clinicians

Practice addresses (Care Compare)

5705 Lee Blvd
Suite 9
Lehigh Acres, FL 33971-6342
Phone (239) 561-1770

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Performance Chiropractic Chiropractor CurrentSince Jul 7, 2014 Accepting new patients
Victor J Drobnic D.C. P.a. Chiropractor Past Accepting new patients

Locations

5705 Lee Blvd
Ste 9
Lehigh Acres, FL 33971
Phone (239) 246-2772

Organizations & group practices 2

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": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490745600000",
    "number": "1356489686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5705 LEE BLVD",
            "address_2": "STE 9",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339716342",
            "telephone_number": "239-561-1770",
            "fax_number": "239-561-1928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4669 VARSITY CIR",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339712064",
            "telephone_number": "239-246-3791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENSCH",
        "first_name": "ROBERT",
        "middle_name": "FRANKLIN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2017-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehigh Acres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2017; 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.