Individual provider Active NPI

Austin Wombacher, DC

  • Chiropractor
  • Smithton, IL
National Provider Identifier
1467259531
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.014244 Issued in IL
Practice address
13 South Main Street Ste. 3
Smithton, IL 62285
Phone
(618) 408-0369
NPI assigned
Feb 26, 2025
Last updated
Feb 26, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038.014244 IL Primary

Addresses

Primary practice location

13 South Main Street Ste. 3
Smithton, IL 62285

Mailing address

10853 Riess Road
Mascoutah, IL 62258
Phone (618) 980-4056

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250320001965 IL Practitioner - Chiropractic 0547782450 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13 S Main St
Suite 3
Smithton, IL 62285-1795
Phone (618) 408-0369

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038.014244ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Wombacher Chiropractic PLLC Chiropractor CurrentSince Feb 18, 2025 Accepting new patients

Locations

13 S Main St
Ste 3
Smithton, IL 62285
Phone (618) 266-2696

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": "1740528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1467259531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10853 RIESS ROAD",
            "city": "MASCOUTAH",
            "state": "IL",
            "postal_code": "62258",
            "telephone_number": "618-980-4056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 SOUTH MAIN STREET STE. 3",
            "city": "SMITHTON",
            "state": "IL",
            "postal_code": "62285",
            "telephone_number": "618-408-0369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOMBACHER",
        "first_name": "AUSTIN",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-26",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.014244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; 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.