Active NPI
Andres Peralta-Werns, DC
- Chiropractor
- Wauwatosa, WI
National Provider Identifier
1699631192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6367-012
- Practice address
- 1155 N Mayfair Rd
Wauwatosa, WI 53226-3462 - Phone
- (414) 955-7199
- Fax
- (414) 955-0110
- NPI assigned
- Dec 29, 2025
- Last updated
- Jul 10, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 6367-012 | WI | Primary |
| Independent Medical Examiner Chiropractor | 111NI0013X | 2025053729 | MO |
Addresses
Primary practice location
1155 N Mayfair Rd
Wauwatosa, WI 53226-3462
Mailing address
1155 N Mayfair Rd
Wauwatosa, WI 53226-3462
Phone (414) 955-7199
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699631192 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, WI
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
10000 W Innovation Dr
Suite 300
Milwaukee, WI 53226-4837
814 Commerce Dr
Suite 300
Oak Brook, IL 60523-1965
814 Commerce Dr
Suite 300
Oakbrook Terrace, IL 60523-8823
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2025053729 | MO | MD | Independent Medical Examiner Chiropractor |
Organizations & group practices 8
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.
-
- Chiropractor
- Saint Louis, MO
- NPI 1831704725
-
- Chiropractor
- Saint Louis, MO
- NPI 1093587552
-
- Chiropractor
- Chesterfield, MO
- NPI 1023636636
-
- Chiropractor
- O'Fallon, MO
- NPI 1801591474
-
- Chiropractor
- Richmond Heights, MO
- NPI 1003434994
-
- Chiropractor
- Saint Charles, MO
- NPI 1750016226
-
- Chiropractor
- Saint Peters, MO
- NPI 1497477293
-
- Chiropractor
- Wentzville, MO
- NPI 1730821117
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1766966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783641600000",
"number": "1699631192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1155 N MAYFAIR RD",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532263462",
"telephone_number": "414-955-7199",
"fax_number": "414-955-0110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1155 N MAYFAIR RD",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532263462",
"telephone_number": "414-955-7199",
"fax_number": "414-955-0110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERALTA-WERNS",
"first_name": "ANDRES",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-12-29",
"last_updated": "2026-07-10",
"certification_date": "2026-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "6367-012",
"primary": true
},
{
"code": "111NI0013X",
"taxonomy_group": "",
"desc": "Chiropractor, Independent Medical Examiner",
"state": "MO",
"license": "2025053729",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1699631192",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wauwatosa, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; 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.