Organization Active NPI

Enloe Chiropractic LLC

  • Chiropractor
  • Middleton, WI
National Provider Identifier
1386843977
Registry record updated Nov 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3418-012 Issued in WI
Legal business name
ENLOE CHIROPRACTIC LLC
Practice address
1424 N High Point Rd
Suite 201
Middleton, WI 53562-3682
Phone
(608) 831-0453
Fax
(608) 836-4884
NPI assigned
Jul 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2012

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

Authorized official

Name
Dr. Wayne T. Enloe, D.C.NPI 1023177649
Title
Owner
Phone
(608) 831-0453

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3418-012 WI Primary

Addresses

Primary practice location

1424 N High Point Rd
Suite 201
Middleton, WI 53562-3682

Mailing address

1424 N High Point Rd
Suite 201
Middleton, WI 53562-3682
Phone (608) 831-0453

Other identifiers 1

IdentifierTypeStateIssuer
38901500MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050609000903 WI Part B Supplier - Clinic/Group Practice 4486697414 Receives reassigned benefits from 1 practitioner
Practice locations: Madison, WI

National Provider Directory

National Provider Directory

Locations

6417 Normandy Ln
Ste 200
Madison, WI 53719
Phone (608) 831-0453

1600 N High Point Rd
Middleton, WI 53562
Phone (608) 831-0453

1424 N High Point Rd
Ste 201
Middleton, WI 53562
Phone (608) 836-3235

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352419200000",
    "number": "1386843977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424 N HIGH POINT RD",
            "address_2": "SUITE 201",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535623682",
            "telephone_number": "608-831-0453",
            "fax_number": "608-836-4884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 N HIGH POINT RD",
            "address_2": "SUITE 201",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535623682",
            "telephone_number": "608-831-0453",
            "fax_number": "608-836-4884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENLOE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-13",
        "last_updated": "2012-11-09",
        "status": "A",
        "authorized_official_last_name": "ENLOE",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-831-0453",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3418-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38901500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2012; 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.