Active NPI
Terry Lin Wepner, DC
- Chiropractor
- Berlin, WI
National Provider Identifier
1720154677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1857012
- Practice address
- 147 N State Street
Berlin, WI 54923-1621 - Phone
- (920) 361-3515
- Fax
- (920) 361-2733
- NPI assigned
- Nov 24, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1857012 | WI | Primary |
| Chiropractor | 111N00000X | 1857 | WI |
Addresses
Primary practice location
147 N State Street
Berlin, WI 54923-1621
Mailing address
147 N State Street
Berlin, WI 54923-1621
Phone (920) 361-3515
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38784100 | Medicaid | WI | |
| 391831491011 | Other | WI | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1857 | WI | MD | Chiropractor |
| 1857012 | WI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pace Chiropractic Office SC | Chiropractor | Current | Accepting new patients |
| Jaskowiak Chiropractic Office SC | Chiropractor | Current | Accepting new patients |
| Back & Body Therapeutic Touch, LLC | Past | Accepting new patients |
Locations
N85W15762 Appleton Ave
Menomonee Fls, WI 53051
Phone (262) 255-9636
Organizations & group practices 3
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.
-
- Chiropractor
- Menomonee Falls, WI
- NPI 1720111578
-
- Chiropractor
- Westfield, WI
- NPI 1245378660
-
- Specialist
- Berlin, WI
- NPI 1831289107
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484870400000",
"number": "1720154677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "147 N STATE STREET",
"city": "BERLIN",
"state": "WI",
"postal_code": "549231621",
"telephone_number": "920-361-3515",
"fax_number": "920-361-2733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "147 N STATE STREET",
"city": "BERLIN",
"state": "WI",
"postal_code": "549231621",
"telephone_number": "920-361-3515",
"fax_number": "920-361-2733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEPNER",
"first_name": "TERRY",
"middle_name": "LIN",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-24",
"last_updated": "2017-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "1857012",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "1857",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38784100",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "391831491011",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Berlin, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.