Mark James Vandecastle, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3211-012 Issued in WI

Practice address

140 N. Townline Rd
Wautoma, WI 54982-0246

Phone

(920) 787-0122

Fax

(920) 787-0091

NPI assigned

Mar 29, 2007

Last updated

Jun 16, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1995

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Vandecastle Family Chiropractic Clinic

  • Health Service Clinic/Center
  • Wautoma, WI
  • NPI 1871935429
  NPD (past) Authorized official

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1649390352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 N. TOWNLINE RD",
            "address_2": "PO BOX 246",
            "city": "WAUTOMA",
            "state": "WI",
            "postal_code": "549820246",
            "telephone_number": "920-787-0122",
            "fax_number": "920-787-0091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 N. TOWNLINE RD",
            "city": "WAUTOMA",
            "state": "WI",
            "postal_code": "549820246",
            "telephone_number": "920-787-0122",
            "fax_number": "920-787-0091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDECASTLE",
        "first_name": "MARK",
        "middle_name": "JAMES",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3211-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Total Renal Care Inc (Wautoma Dialysis)
• Alyssa Anne Treu, PHARMD
• Eric Richard Tyler, O. D.
• Laurie A Van Grinsven, PA-C
• Vandecastle Family Chiropractic Clinic
• Clara L Voigtlander, LCSW
• Bethany J Walker, APSW
• Jennifer A Ward, LCSW
• Judith Ann Warren, LMFT
• Waushara County (Waushara County Crisis Intervention)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; 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.

Verify at the official NPI Registry.