Active NPI
Wade E Anunson, DC
- Chiropractor
- Madison, WI
National Provider Identifier
1710095286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3078-12
- Practice address
- 8215 Plaza Dr
Suite B
Madison, WI 53719-3871 - Phone
- (608) 829-2250
- Fax
- (608) 829-2251
- NPI assigned
- Aug 26, 2006
- 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 | 3078-12 | WI | Primary |
Addresses
Primary practice location
8215 Plaza Dr
Suite B
Madison, WI 53719-3871
Mailing address
8215 Plaza Dr
Suite B
Madison, WI 53719-3871
Phone (608) 829-2250
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 204430193013 | Other | WI | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060502000651 | WI | Practitioner - Chiropractic | 0446260699 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1994
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
8215 Plaza Dr
Suite B
Madison, WI 53719-3871
Phone (608) 516-4180
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3078-12 | WI | MD | Chiropractor |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371513600000",
"number": "1710095286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8215 PLAZA DR",
"address_2": "SUITE B",
"city": "MADISON",
"state": "WI",
"postal_code": "537193871",
"telephone_number": "608-829-2250",
"fax_number": "608-829-2251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8215 PLAZA DR",
"address_2": "SUITE B",
"city": "MADISON",
"state": "WI",
"postal_code": "537193871",
"telephone_number": "608-829-2250",
"fax_number": "608-829-2251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANUNSON",
"first_name": "WADE",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-26",
"last_updated": "2013-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "3078-12",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "204430193013",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2013; 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.