Wyckoff Chiropractic and Wellness

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC010693 Issued in PA

Legal business name

WYCKOFF CHIROPRACTIC AND WELLNESS

Practice address

1015 Congdon Ave
Stroudsburg, PA 18360-1117

Phone

(570) 517-9970

NPI assigned

Jun 14, 2013

Last updated

Jun 14, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Claes Robert Wyckoff, DCNPI 1336489582

Title

Owner

Phone

(570) 517-9970

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Claes R Wyckoff, DC

  • Chiropractor
  • Stroudsburg, PA
  • NPI 1336489582
  Medicare reassignment NPD Authorized official
• William Martin, DC

  • Chiropractor
  • Stroudsburg, PA
  • NPI 1215919832
  NPD (past)

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

{
    "created_epoch": "1371168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371168000000",
    "number": "1568800399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 VALLEY TER",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183018987",
            "telephone_number": "570-517-9970",
            "fax_number": "570-421-7084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 CONGDON AVE",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183601117",
            "telephone_number": "570-517-9970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYCKOFF CHIROPRACTIC AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-14",
        "last_updated": "2013-06-14",
        "status": "A",
        "authorized_official_last_name": "WYCKOFF",
        "authorized_official_first_name": "CLAES",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-517-9970",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Concetta Witt, HEARING AID DISPENSE
• Danielle Wlodarski
• Nathan Wojick
• Daniel Wright, PA-C
• Erica Wright, RN
• Claes R Wyckoff, DC
• Pamela Moore Wyckoff, OT
• Veronika Nyanyku Xiao
• Sarah Lynn Yermal, RN, BSN
• Melissa Yetter, RN IBCLC

• Chiropractor in Stroudsburg, PA
• Providers in Stroudsburg, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2013; 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.