Active NPI
Warren Adam Witkowski, D.C.
- Chiropractor
- New London, WI
National Provider Identifier
1437149101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2955
- Practice address
- 315 Burton Rd Ste 108
New London, WI 54961-1176 - Phone
- (920) 982-7520
- Fax
- (920) 982-7877
- NPI assigned
- Oct 25, 2005
- Last updated
- Nov 27, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2955 | WI | Primary |
Addresses
Primary practice location
315 Burton Rd Ste 108
New London, WI 54961-1176
Mailing address
PO Box 143
New London, WI 54961-0143
Phone (920) 982-7520
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111208000815 | WI | Practitioner - Chiropractic | 2769657329 | Practice locations: New London, WI |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
315 River Place
Suite 108
New London, WI 54961-0143
Phone (920) 982-7520
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2955 | WI | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543276800000",
"number": "1437149101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 143",
"city": "NEW LONDON",
"state": "WI",
"postal_code": "549610143",
"telephone_number": "920-982-7520",
"fax_number": "920-982-7877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 BURTON RD STE 108",
"city": "NEW LONDON",
"state": "WI",
"postal_code": "549611176",
"telephone_number": "920-982-7520",
"fax_number": "920-982-7877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WITKOWSKI",
"first_name": "WARREN",
"middle_name": "ADAM",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-25",
"last_updated": "2018-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "2955",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New London, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2018; 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.