Active NPI
Madisyn Walter, DC
- Chiropractor
- Wanatah, IN
National Provider Identifier
1801531827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 08003296A
- Practice address
- 11576 W US Highway 30 # C
Wanatah, IN 46390-9300 - Phone
- (219) 851-7767
- NPI assigned
- May 3, 2022
- Last updated
- May 17, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 08003296A | IN | Primary |
Addresses
Primary practice location
11576 W US Highway 30 # C
Wanatah, IN 46390-9300
Mailing address
6679 W 1600 S
Wanatah, IN 46390-9758
Phone (219) 851-7767
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
| License | State | Type | Specialty |
|---|---|---|---|
| 08003296A | IN | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652745600000",
"number": "1801531827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6679 W 1600 S",
"city": "WANATAH",
"state": "IN",
"postal_code": "463909758",
"telephone_number": "219-851-7767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11576 W US HIGHWAY 30 # C",
"city": "WANATAH",
"state": "IN",
"postal_code": "463909300",
"telephone_number": "219-851-7767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTER",
"first_name": "MADISYN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-03",
"last_updated": "2022-05-17",
"certification_date": "2022-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IN",
"license": "08003296A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wanatah, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.