Individual provider Active NPI

Wade Trzebiatowski, D.C.

  • Chiropractor
  • Stevens Point, WI
National Provider Identifier
1770937666
Registry record updated Apr 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5025-12 Issued in WI
Practice address
5370 US Highway 10 E
Suite B
Stevens Point, WI 54482-8303
Phone
(715) 544-1069
NPI assigned
Apr 18, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5025-12 WI Primary

Addresses

Primary practice location

5370 US Highway 10 E
Suite B
Stevens Point, WI 54482-8303

Mailing address

5370 US Highway 10 E
Suite B
Stevens Point, WI 54482-8303

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5025-12WIMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1460937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460937600000",
    "number": "1770937666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5370 US HIGHWAY 10 E",
            "address_2": "SUITE B",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544828303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5370 US HIGHWAY 10 E",
            "address_2": "SUITE B",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544828303",
            "telephone_number": "715-544-1069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRZEBIATOWSKI",
        "first_name": "WADE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-18",
        "last_updated": "2016-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5025-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stevens Point, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.