Active NPI
Andrew Joseph Wenger, DC
- Chiropractor
- Coral Springs, FL
National Provider Identifier
1831851393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH12948
- Practice address
- 1360 Coral Ridge Dr
Coral Springs, FL 33071-5419 - Phone
- (754) 231-8181
- NPI assigned
- Oct 12, 2021
- Sex
- Male
- 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 | CH12948 | FL | Primary |
Addresses
Primary practice location
1360 Coral Ridge Dr
Coral Springs, FL 33071-5419
Mailing address
8101 NW 71St CT
Tamarac, FL 33321-2757
Phone (616) 450-2449
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 |
|---|---|---|---|
| CH12948 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633996800000",
"number": "1831851393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8101 NW 71ST CT",
"city": "TAMARAC",
"state": "FL",
"postal_code": "333212757",
"telephone_number": "616-450-2449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1360 CORAL RIDGE DR",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330715419",
"telephone_number": "754-231-8181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WENGER",
"first_name": "ANDREW",
"middle_name": "JOSEPH",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-10-12",
"last_updated": "2021-10-12",
"certification_date": "2021-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "FL",
"license": "CH12948",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coral Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.