Individual provider Active NPI

William Henry Zimmer-Wakeley, DC

  • Chiropractor
  • Poplar, WI
National Provider Identifier
1801484050
Registry record updated Oct 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5604-12 Issued in WI
Practice address
9719 E Main St - Unit 5
Poplar, WI 54864
Phone
(715) 446-8438
NPI assigned
Jan 4, 2021
Last updated
Oct 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5604-12 WI Primary

Addresses

Primary practice location

9719 E Main St - Unit 5
Poplar, WI 54864

Mailing address

1001 Belknap St Unit 203
Superior, WI 54880-2823
Phone (715) 446-8438

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210315000812 WI Practitioner - Chiropractic 5395151500 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imperium Chiropractic SCGroup PAC ID 2961728357, 3 clinicians

Practice addresses (Care Compare)

1001 Belknap St
Suite 111
Superior, WI 54880-2818
Phone (715) 609-2155

W8646 US Hwy 8
Ladysmith, WI 54848-9501
Phone (715) 532-6394

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Imperium Chiropractic SC Chiropractor CurrentSince Mar 10, 2021 Accepting new patients
Imperium Chiropractic Chiropractor Past Accepting new patients

Locations

W8646 US Highway 8
Ladysmith, WI 54848
Phone (715) 532-6394

1001 Belknap St
Ste 111
Superior, WI 54880
Phone (715) 609-2155

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791158400000",
    "number": "1801484050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 BELKNAP ST UNIT 203",
            "city": "SUPERIOR",
            "state": "WI",
            "postal_code": "548802823",
            "telephone_number": "715-446-8438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9719 E MAIN ST - UNIT 5",
            "city": "POPLAR",
            "state": "WI",
            "postal_code": "54864",
            "telephone_number": "715-446-8438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMER-WAKELEY",
        "first_name": "WILLIAM",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-04",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5604-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poplar, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; 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.