John Marshall Winckler, D.C., D.A.C.O.

Primary specialty

Orthopedic ChiropractorTaxonomy code 111NX0800X

License

4065 Issued in OR

Practice address

999 NW Circle Blvd
Corvallis, OR 97330-1408

Phone

(541) 754-2225

Fax

(541) 752-9086

NPI assigned

Jan 18, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

• Winckler Chiropractic LLC

  • Health Service Clinic/Center
  • Corvallis, OR
  • NPI 1215236393
  NPD (past) Authorized official
• One Heart Heals Holistic Healthcare, PC

  • Naturopath
  • Corvallis, OR
  • NPI 1205888302
  NPD (past)

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

{
    "created_epoch": "1295308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308614400000",
    "number": "1740585074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3331 NW POPPY DR",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303476",
            "telephone_number": "651-308-2366",
            "fax_number": "541-230-1327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 NW CIRCLE BLVD",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973301408",
            "telephone_number": "541-754-2225",
            "fax_number": "541-752-9086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINCKLER",
        "first_name": "JOHN",
        "middle_name": "MARSHALL",
        "name_prefix": "Dr.",
        "credential": "D.C., D.A.C.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-18",
        "last_updated": "2011-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "OR",
            "license": "4065",
            "primary": true
        },
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "MN",
            "license": "2002",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Wilson
• Tammy Jo Wilson
• Carolyn Marie Wiltbank, MA
• Elijah Graham Wimmer
• Winckler Chiropractic LLC
• Lloyd Winkler, APRN
• Bret G Winningham
• Katie Winningham
• Sydney Winstead, PT, DPT, ATC
• Kimberly Sue Winter

• Orthopedic Chiropractor in Corvallis, OR
• Providers in Corvallis, OR by specialty
• Orthopedic Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2011; 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.

Verify at the official NPI Registry.