Individual provider Active NPI

Todd Steven Wendell, D.C.

  • Chiropractor
  • Elko, NV
National Provider Identifier
1508814328
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
B01082 Issued in NV
Practice address
618 Idaho St
Elko, NV 89801-3877
Phone
(775) 777-3033
Fax
(775) 777-3045
NPI assigned
May 4, 2006
Last updated
Aug 26, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1083 SD
Chiropractor 111N00000X B01082 NV Primary

Addresses

Primary practice location

618 Idaho St
Elko, NV 89801-3877

Mailing address

618 Idaho St
Elko, NV 89801-3877
Phone (775) 777-3033

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050914000421 NV Practitioner - Chiropractic 7416922323 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

618 Idaho St
Suite 1
Elko, NV 89801-3874
Phone (775) 777-3033

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1083SDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ruby Mountain Chiropractic Center, Inc. Chiropractor CurrentSince Jun 1, 2014 Accepting new patients
Wendell Chiropractic, P.C. Chiropractor Past Accepting new patients

Locations

123 2nd St
Elko, NV 89801
Phone (775) 777-3033

618 Idaho St
Ste 1
Elko, NV 89801
Phone (775) 777-3033

Organizations & group practices 2

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1508814328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 IDAHO ST",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898013877",
            "telephone_number": "775-777-3033",
            "fax_number": "775-777-3045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 IDAHO ST",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898013877",
            "telephone_number": "775-777-3033",
            "fax_number": "775-777-3045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENDELL",
        "first_name": "TODD",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "1083",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B01082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elko, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; 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.