Individual provider Active NPI

Dalton Gregory Wassenberg, DC

  • Chiropractor
  • Salina, KS
National Provider Identifier
1366220279
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-06283 Issued in KS
Practice address
1130 E Cloud St
Salina, KS 67401-6449
Phone
(785) 428-0298
NPI assigned
Sep 20, 2023
Last updated
Sep 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01-06283 KS Primary

Addresses

Primary practice location

1130 E Cloud St
Salina, KS 67401-6449

Mailing address

2032 Marc St
Salina, KS 67401-6722
Phone (785) 201-2691

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240215000442 KS Practitioner - Chiropractic 7113361478 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chiropractic Wellness Center PAGroup PAC ID 0244289783, 4 clinicians

Practice addresses (Care Compare)

1130 E Cloud St
Salina, KS 67401-6449
Phone (785) 827-7779

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01-06283KSMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Wellness Center PA Chiropractor CurrentSince Jan 1, 2024 Accepting new patients

Locations

1130 E Cloud St
Salina, KS 67401
Phone (785) 428-0298

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1695168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1366220279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2032 MARC ST",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674016722",
            "telephone_number": "785-201-2691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 E CLOUD ST",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674016449",
            "telephone_number": "785-428-0298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASSENBERG",
        "first_name": "DALTON",
        "middle_name": "GREGORY",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-20",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-06283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salina, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.