Wayne L. Wundram, D.C.

Primary specialty

Orthopedic ChiropractorTaxonomy code 111NX0800X

License

DC11832 Issued in CA

Practice address

1414 W Main St
Visalia, CA 93291-5823

Phone

(559) 734-3298

Fax

(559) 734-3297

NPI assigned

Nov 8, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518037704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 W MAIN ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932915823",
            "telephone_number": "559-734-3298",
            "fax_number": "559-734-3297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 W MAIN ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932915823",
            "telephone_number": "559-734-3298",
            "fax_number": "559-734-3297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WUNDRAM",
        "first_name": "WAYNE",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "CA",
            "license": "DC11832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yvette Judith Wright, PPS
• Ching-Fong Wu, DO
• Kate Wu, MA
• Min- Shung Wu, M.D.
• Andrea Nicole Wullschleger, ACSW
• Alyssa Catherine Wyllie, FNP-C
• Mary Fatima Xavier, LCSW
• Side XI, MD
• Felicia Xiong
• Khoua Xiong, CASE MANAGER

• Orthopedic Chiropractor in Visalia, CA
• Providers in Visalia, CA by specialty
• Orthopedic Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.