Individual provider Active NPI

Marissa Leigh Wossner, DC

  • Chiropractor
  • Naperville, IL
National Provider Identifier
1528608452
Registry record updated Jan 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH13020 Issued in FL
Practice address
2112 Winding River Dr Ste 120
Naperville, IL 60564-8555
Phone
(630) 428-2299
Fax
(224) 330-1920
NPI assigned
Jan 8, 2020
Last updated
Jan 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH13020 FL Primary

Addresses

Primary practice location

2112 Winding River Dr Ste 120
Naperville, IL 60564-8555

Mailing address

5008 Millenia Palms Dr Apt 1104
Orlando, FL 32839-2229
Phone (815) 409-5291

Other practice location 1

425 Alexandria Blvd Ste 1000
Oviedo, FL 32765-5548
Phone (407) 977-3434

Other practice location 2

1600 N Main St Ste B
Wheaton, IL 60187-3282
Phone (630) 949-2431

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH13020FLMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1578441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610928000000",
    "number": "1528608452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5008 MILLENIA PALMS DR APT 1104",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328392229",
            "telephone_number": "815-409-5291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 WINDING RIVER DR STE 120",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605648555",
            "telephone_number": "630-428-2299",
            "fax_number": "224-330-1920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "425 Alexandria Blvd Ste 1000",
            "address_purpose": "LOCATION",
            "city": "Oviedo",
            "state": "FL",
            "postal_code": "327655548",
            "country_code": "US",
            "telephone_number": "407-977-3434",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 N Main St Ste B",
            "address_purpose": "LOCATION",
            "city": "Wheaton",
            "state": "IL",
            "postal_code": "601873282",
            "country_code": "US",
            "telephone_number": "630-949-2431",
            "fax_number": "224-330-1920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOSSNER",
        "first_name": "MARISSA",
        "middle_name": "LEIGH",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-08",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH13020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; 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.