Organization Active NPI

Gateway Chiropractic and Rehabilitation LLC

  • Health Service Clinic/Center
  • Pewaukee, WI
National Provider Identifier
1477879468
Registry record updated Apr 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
4403-012 Issued in WI
Legal business name
GATEWAY CHIROPRACTIC AND REHABILITATION LLC
Practice address
1166 Quail CT
Suite 315
Pewaukee, WI 53072-3769
Phone
(262) 691-7562
Fax
(262) 691-7572
NPI assigned
Apr 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2010

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

Authorized official

Name
Dr. Kevin Wexler, D.CNPI 1659517555
Title
Owner
Phone
(262) 691-7562

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 4403-012 WI Primary
Medical Specialty Clinic/Center 261QM2500X 4403-012 WI

Addresses

Primary practice location

1166 Quail CT
Suite 315
Pewaukee, WI 53072-3769

Mailing address

1166 Quail CT
Suite 315
Pewaukee, WI 53072-3769
Phone (262) 691-7562

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100514000775 WI Part B Supplier - Clinic/Group Practice 4486782257 Receives reassigned benefits from 1 practitioner
Practice locations: Sussex, WI

National Provider Directory

National Provider Directory

Locations

N63W23965 Main St
Sussex, WI 53089
Phone (262) 372-4603

Practitioners & affiliated clinicians

Practitioners 1

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": "1271289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271289600000",
    "number": "1477879468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1166 QUAIL CT",
            "address_2": "SUITE 315",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530723769",
            "telephone_number": "262-691-7562",
            "fax_number": "262-691-7572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1166 QUAIL CT",
            "address_2": "SUITE 315",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530723769",
            "telephone_number": "262-691-7562",
            "fax_number": "262-691-7572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY CHIROPRACTIC AND REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-15",
        "last_updated": "2010-04-15",
        "status": "A",
        "authorized_official_last_name": "WEXLER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-691-7562",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "WI",
            "license": "4403-012",
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "WI",
            "license": "4403-012",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pewaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2010; 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.