Active NPI
Adam W . Wacker, D.C.
- Chiropractor
- Lancaster, WI
National Provider Identifier
1710027107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3565-012
- Practice address
- 141 E Maple St
Lancaster, WI 53813-1765 - Phone
- (608) 723-4229
- Fax
- (608) 723-5666
- NPI assigned
- Feb 7, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3565-012 | WI | Primary |
Addresses
Primary practice location
141 E Maple St
Lancaster, WI 53813-1765
Mailing address
141 E Maple St
Lancaster, WI 53813-1765
Phone (608) 723-4229
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3565 | WI | MD | Counselor |
| 3565-012 | WI | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710027107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 E MAPLE ST",
"city": "LANCASTER",
"state": "WI",
"postal_code": "538131765",
"telephone_number": "608-723-4229",
"fax_number": "608-723-5666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 E MAPLE ST",
"city": "LANCASTER",
"state": "WI",
"postal_code": "538131765",
"telephone_number": "608-723-4229",
"fax_number": "608-723-5666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WACKER",
"first_name": "ADAM",
"middle_name": "W .",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "3565-012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lancaster, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.