Scott J. Wagenknecht, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3592-012 Issued in WI

Legal business name

SCOTT J. WAGENKNECHT, LLC

Practice address

8405 W Forest Home Ave Ste 101
Greenfield, WI 53228-3407

Phone

(414) 423-9225

Fax

(414) 421-7516

NPI assigned

Nov 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Scott J Wagenknecht, D.C.NPI 1952393910

Title

Chiropractor

Phone

(414) 423-9225

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Scott J Wagenknecht, DC

  • Chiropractor
  • Greenfield, WI
  • NPI 1952393910
  Medicare reassignment NPD Authorized official
• Steven Michael Longo, DC

  • Chiropractor
  • Greenfield, WI
  • NPI 1447244850
  NPD

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1568644060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8405 W FOREST HOME AVE STE 101",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532283407",
            "telephone_number": "414-423-9225",
            "fax_number": "414-421-7516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8405 W FOREST HOME AVE STE 101",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532283407",
            "telephone_number": "414-423-9225",
            "fax_number": "414-421-7516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT J. WAGENKNECHT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-27",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "WAGENKNECHT",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "414-423-9225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3592-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38925100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daisy Renee Schumacher, PTA
• Scott Andrew Schumacher
• Thomas A Schuster, MD
• Norman Lee Schuttenhelm, RPH
• Nita Schwab, AU.D.
• Brandy L Scott, APNP
• Theresa Sebestyen, PT
• Anna E Seckar-Anderson, APNP
• Kris Sell, PT
• Serenity Recovery Clinic, LLC

• Chiropractor in Greenfield, WI
• Providers in Greenfield, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; 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.

Verify at the official NPI Registry.