Organization Active NPI

Wilke Chiropractic LLC

  • Chiropractor
  • Hartford, WI
National Provider Identifier
1619320504
Registry record updated Oct 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
WILKE CHIROPRACTIC LLC
Practice address
45 Hilldale Dr Ste B
Hartford, WI 53027-2637
Phone
(262) 457-2224
Fax
(262) 457-2226
NPI assigned
Jul 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2016

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

Authorized official

Name
James A Wilke, D.C.NPI 1346481249
Title
Sole Owner
Phone
(262) 457-2224

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

45 Hilldale Dr Ste B
Hartford, WI 53027-2637

Mailing address

45 Hilldale Dr Ste B
Hartford, WI 53027-2637
Phone (262) 457-2224

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160812000024 WI Part B Supplier - Clinic/Group Practice 5597059675 Receives reassigned benefits from 1 practitioner
Practice locations: Hartford, WI

National Provider Directory

National Provider Directory

Locations

45 Hilldale Dr
#B
Hartford, WI 53027
Phone (262) 457-2224

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1468540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475625600000",
    "number": "1619320504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 HILLDALE DR STE B",
            "city": "HARTFORD",
            "state": "WI",
            "postal_code": "530272637",
            "telephone_number": "262-457-2224",
            "fax_number": "262-457-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 HILLDALE DR STE B",
            "city": "HARTFORD",
            "state": "WI",
            "postal_code": "530272637",
            "telephone_number": "262-457-2224",
            "fax_number": "262-457-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILKE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-15",
        "last_updated": "2016-10-05",
        "status": "A",
        "authorized_official_last_name": "WILKE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "262-457-2224",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2016; 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.