Wepner Chiropractic Office, S.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

1857-012 Issued in WI

Legal business name

WEPNER CHIROPRACTIC OFFICE, S.C.

Practice address

147 N State St
Berlin, WI 54923-1621

Phone

(920) 361-3515

Fax

(920) 361-2733

NPI assigned

Dec 8, 2006

Organization subpart

No

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

Authorized official

Name

Terry Lin Wepner, D.C.

Title

President

Phone

(920) 361-3515

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

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

• Ty Rebedew

  • Chiropractor
  • Berlin, WI
  • NPI 1073100178
  NPD
• Tina Lorene Swanke, OTR

  • Specialist
  • Berlin, WI
  • NPI 1063511061
  NPD (past)

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407915937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 N STATE ST",
            "city": "BERLIN",
            "state": "WI",
            "postal_code": "549231621",
            "telephone_number": "920-361-3515",
            "fax_number": "920-361-2733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 N STATE ST",
            "city": "BERLIN",
            "state": "WI",
            "postal_code": "549231621",
            "telephone_number": "920-361-3515",
            "fax_number": "920-361-2733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEPNER CHIROPRACTIC OFFICE, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEPNER",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "LIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-361-3515",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "WI",
            "license": "1857-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38784100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janelle R Vogler, PA-C
• Kristy E Wagner, COTA
• Wal-Mart Stores East LP
• Waushara Dental Associate SC
• Cassandra Evon Weisnicht
• Terry Lin Wepner, DC
• Claire Westlake, MS, CF-SLP
• Alexander Loy White, D.D.S.
• Xtreme Care EMS, LLC
• Karri Kathleen Youngbauer

• Sports Physician Chiropractor in Berlin, WI
• Providers in Berlin, WI by specialty
• Sports Physician Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.