Active NPI
Kevin Wexler, D.C.
- Chiropractor
- Pewaukee, WI
National Provider Identifier
1659517555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4403-012
- Practice address
- 1166 Quail CT
Suite 315
Pewaukee, WI 53072-3769 - Phone
- (262) 691-7562
- NPI assigned
- Dec 23, 2008
- 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 | 4403-012 | WI | Primary |
Addresses
Primary practice location
1166 Quail CT
Suite 315
Pewaukee, WI 53072-3769
Mailing address
1166 Quail CT
Suite 315
Pewaukee, WI 53072-3769
Phone (262) 691-7562
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
N63W23965 Main St
Sussex, WI 53089-3123
Phone (262) 372-4603
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4403-012 | WI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gateway Chiropractic and Rehabilitation LLC | Current | Accepting new patients |
Locations
1166 Quail Ct
Ste 315
Pewaukee, WI 53072
Phone (262) 370-6888
N63W23965 Main St
Sussex, WI 53089
Phone (262) 372-4603
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Health Service Clinic/Center
- Pewaukee, WI
- NPI 1477879468
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229990400000",
"number": "1659517555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1166 QUAIL CT",
"address_2": "SUITE 315",
"city": "PEWAUKEE",
"state": "WI",
"postal_code": "530723769",
"telephone_number": "262-691-7562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1166 QUAIL CT",
"address_2": "SUITE 315",
"city": "PEWAUKEE",
"state": "WI",
"postal_code": "530723769",
"telephone_number": "262-691-7562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEXLER",
"first_name": "KEVIN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-12-23",
"last_updated": "2008-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "4403-012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pewaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2008; 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.