Individual provider Active NPI

Michael Wulfekuhle, D.C.

  • Chiropractor
  • Saint Louis, MO
National Provider Identifier
1851069165
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2021022173 Issued in MO
Practice address
1013 S 18TH St
Saint Louis, MO 63104-2909
Phone
(314) 436-3050
NPI assigned
Sep 1, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2021022173 MO Primary

Addresses

Primary practice location

1013 S 18TH St
Saint Louis, MO 63104-2909

Mailing address

1013 S 18TH St
Saint Louis, MO 63104-2909
Phone (314) 436-3050

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241231002777 IA Practitioner - Chiropractic 5092193862 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meyer Chiropractic ClinicGroup PAC ID 0648618181, 2 clinicians

Practice addresses (Care Compare)

59 E Green St
Winterset, IA 50273-1530
Phone (515) 462-5807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2021022173MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lowe Chiropractic Clinic, PC Chiropractor CurrentSince Dec 30, 2024 Accepting new patients
Meyer Chiropractic Clinic Chiropractor CurrentSince Dec 30, 2024 Accepting new patients

Locations

705 2nd Ave SW
Altoona, IA 50009
Phone (515) 967-3396

59 E Green St
Winterset, IA 50273
Phone (515) 462-5807

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1851069165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 S 18TH ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631042909",
            "telephone_number": "314-436-3050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 S 18TH ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631042909",
            "telephone_number": "314-436-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WULFEKUHLE",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-01",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2021022173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; 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.