Active NPI
Wunderlich Chiropractic LLC
- Chiropractor
- Fitchburg, WI
National Provider Identifier
1508170382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3965-012
- Legal business name
- WUNDERLICH CHIROPRACTIC LLC
- Practice address
- 6227 McKee Rd
Suite E
Fitchburg, WI 53719-5178 - Phone
- (608) 274-7660
- Fax
- (608) 274-7667
- NPI assigned
- Aug 4, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Matthew James Wunderlich, D.C.
- Title
- Owner/Chiropractor
- Phone
- (608) 274-7660
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3965-012 | WI | Primary |
Addresses
Primary practice location
6227 McKee Rd
Suite E
Fitchburg, WI 53719-5178
Mailing address
6227 McKee Rd
Suite E
Fitchburg, WI 53719-5178
Phone (608) 274-7660
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2940 Chapel Valley Rd
Ste 3
Fitchburg, WI 53711
Phone (608) 274-7660
6227 McKee Rd
Ste E
Fitchburg, WI 53719
Phone (608) 274-7660
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Madison, WI
- NPI 1265525430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280880000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1287532800000",
"number": "1508170382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6227 MCKEE RD",
"address_2": "SUITE E",
"city": "FITCHBURG",
"state": "WI",
"postal_code": "537195178",
"telephone_number": "608-274-7660",
"fax_number": "608-274-7667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6227 MCKEE RD",
"address_2": "SUITE E",
"city": "FITCHBURG",
"state": "WI",
"postal_code": "537195178",
"telephone_number": "608-274-7660",
"fax_number": "608-274-7667"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WUNDERLICH CHIROPRACTIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-08-04",
"last_updated": "2010-10-20",
"status": "A",
"authorized_official_last_name": "WUNDERLICH",
"authorized_official_first_name": "MATTHEW",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
"authorized_official_telephone_number": "608-274-7660",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "WI",
"license": "3965-012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fitchburg, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.