Brian Wayne Wentz, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4747 Issued in KY

Practice address

308 N Depot St
Lebanon, KY 40033-1422

Phone

(270) 692-2652

Fax

(270) 692-6099

NPI assigned

Mar 23, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• Harrodsburg Chiropractic, P.S.C.

  • Chiropractor
  • Harrodsburg, KY
  • NPI 1184832214
  NPD (past) Authorized official
• Mercer Chiropractic Center, Inc.

  • Chiropractor
  • Harrodsburg, KY
  • NPI 1265474902
  NPD

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1700845039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 N DEPOT ST",
            "city": "LEBANON",
            "state": "KY",
            "postal_code": "400331422",
            "telephone_number": "270-692-2652",
            "fax_number": "270-692-6099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 N DEPOT ST",
            "city": "LEBANON",
            "state": "KY",
            "postal_code": "400331422",
            "telephone_number": "270-692-2652",
            "fax_number": "270-692-6099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENTZ",
        "first_name": "BRIAN",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85002475",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co
• Amy Walston
• Gracie Faith Walston
• Christa D Walters, APRN
• Stephanie Watson
• Michael Jared Wheatley, ATC
• Deadra Jeanna Wiegel, PTA
• William D. Kirk M.D., PLLC
• William Duley III
• Vicki Williams, LCSW

• Chiropractor in Lebanon, KY
• Providers in Lebanon, KY by specialty
• Chiropractor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.