Organization Active NPI

Dr. Andrea Appleton LTD

  • Chiropractor
  • Green Bay, WI
National Provider Identifier
1740426477
Registry record updated Dec 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4086 Issued in WI
Legal business name
DR. ANDREA APPLETON LTD
Practice address
1431 W Mason St
Green Bay, WI 54303-2120
Phone
(920) 405-0050
Fax
(920) 405-0553
NPI assigned
Dec 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Andrea Marie Wochenske, D.C.
Title
Owner
Phone
(920) 405-0050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4086 WI Primary

Addresses

Primary practice location

1431 W Mason St
Green Bay, WI 54303-2120

Mailing address

1431 W Mason St
Green Bay, WI 54303-2120
Phone (920) 405-0050

Other identifiers 1

IdentifierTypeStateIssuer
38963900MedicaidWI

Other names 1

  • The Chiropractic Cottage Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060223000783 WI Part B Supplier - Clinic/Group Practice 0446266779 Receives reassigned benefits from 1 practitioner
Practice locations: Green Bay, WI

National Provider Directory

National Provider Directory

Locations

709 S Oneida St
Ste 3
Green Bay, WI 54304
Phone (920) 405-0050

1431 W Mason St
Green Bay, WI 54303
Phone (920) 405-0050

709 S Oneida St
Ste 2
Green Bay, WI 54304
Phone (920) 405-0050

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1230681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356480000000",
    "number": "1740426477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 W MASON ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543032120",
            "telephone_number": "920-405-0050",
            "fax_number": "920-405-0553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 W MASON ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543032120",
            "telephone_number": "920-405-0050",
            "fax_number": "920-405-0553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ANDREA APPLETON LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-31",
        "last_updated": "2012-12-26",
        "status": "A",
        "authorized_official_last_name": "WOCHENSKE",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-405-0050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38963900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Chiropractic Cottage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2012; 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.

Verify at the official NPI Registry.