Active NPI
Chandra Elizabeth Wisneski, DC, ATC
- Chiropractor
- Newton, MA
National Provider Identifier
1811308307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3460
- Practice address
- 517 Washington St
Newton, MA 02458-1433 - Phone
- (617) 969-2225
- NPI assigned
- May 19, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3460 | MA | Primary |
| Athletic Trainer | 2255A2300X | 2591 | MA |
Addresses
Primary practice location
517 Washington St
Newton, MA 02458-1433
Mailing address
517 Washington St
Newton, MA 02458-1433
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3460 | MA | MD | Mental Health Counselor |
| 2591 | MA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424822400000",
"number": "1811308307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "517 WASHINGTON ST",
"city": "NEWTON",
"state": "MA",
"postal_code": "024581433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "517 WASHINGTON ST",
"city": "NEWTON",
"state": "MA",
"postal_code": "024581433",
"telephone_number": "617-969-2225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WISNESKI",
"first_name": "CHANDRA",
"middle_name": "ELIZABETH",
"credential": "DC, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-19",
"last_updated": "2015-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MA",
"license": "3460",
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MA",
"license": "2591",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.