Wink Chiropractic Wellness Center, SC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1628012 Issued in WI

Legal business name

WINK CHIROPRACTIC WELLNESS CENTER, SC

Practice address

924 Forest Ave
Suite 101
Fond Du Lac, WI 54935-3807

Phone

(920) 921-4130

Fax

(920) 921-4331

NPI assigned

Dec 22, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Craig S Wink, DC

Title

Owner

Phone

(920) 921-4130

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

Practitioners 3

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

• Leann Kaye Cobler, DC

  • Chiropractor
  • Fon Du Lac, WI
  • NPI 1801975404
  NPD (past)
• William Henry Curry, DC

  • Chiropractor
  • Fond Du Lac, WI
  • NPI 1841457371
  NPD (past)
• Barry Micheal Radandt, D.C.

  • Neurology Chiropractor
  • Pewaukee, WI
  • NPI 1861442949
  NPD (past)

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780748608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 FOREST AVE",
            "address_2": "SUITE 101",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549353807",
            "telephone_number": "920-921-4130",
            "fax_number": "920-921-4331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 FOREST AVE",
            "address_2": "SUITE 101",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549353807",
            "telephone_number": "920-921-4130",
            "fax_number": "920-921-4331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINK CHIROPRACTIC WELLNESS CENTER, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WINK",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-921-4130",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "1628012",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3126012",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38970500",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38766000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tessa Williamson, L.AC
• Angela Lee Williquette, PTA
• David F. Wiltzius, LPC
• Carrie Windorff
• Kerry A Winget, SLP
• Craig S Wink, DC
• Kelly Ann Wink, M.S. CCC-SLP
• Bradley Carl Winkelman, APNP
• Claudia Annmarie Winkelman, M.S., CCC-SLP
• Winnebago Oral Surgery, S.C.

• Chiropractor in Fond Du Lac, WI
• Providers in Fond Du Lac, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.