Active NPI
John Walter Rummel, D.C.
- Chiropractor
- West Bend, WI
National Provider Identifier
1568518413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3511-012
- Practice address
- 628 N Main St
West Bend, WI 53090-2552 - Phone
- (262) 338-9881
- NPI assigned
- Jan 25, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3511-012 | WI | Primary |
Addresses
Primary practice location
628 N Main St
West Bend, WI 53090-2552
Mailing address
628 N Main St
West Bend, WI 53090-2552
Phone (262) 338-9881
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38905600 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040105000489 | WI | Practitioner - Chiropractic | 2264331610 | Practice locations: West Bend, WI |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
628 N Main St
West Bend, WI 53090-2552
Phone (262) 338-9881
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3511-012 | WI | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788307200000",
"number": "1568518413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "628 N MAIN ST",
"city": "WEST BEND",
"state": "WI",
"postal_code": "530902552",
"telephone_number": "262-338-9881",
"fax_number": "262-334-9626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "628 N MAIN ST",
"city": "WEST BEND",
"state": "WI",
"postal_code": "530902552",
"telephone_number": "262-338-9881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUMMEL",
"first_name": "JOHN",
"middle_name": "WALTER",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-25",
"last_updated": "2026-09-02",
"certification_date": "2026-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "3511-012",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38905600",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Bend, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; 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.