Carmel Dekel Wiseman, D.C., D.I.C.C.P.

Primary specialty

Pediatric ChiropractorTaxonomy code 111NP0017X

License

0104556504 Issued in VA

Practice address

10807 Main St
800
Fairfax, VA 22030-4730

Phone

(240) 460-5150

Fax

(240) 342-3434

NPI assigned

Jan 25, 2009

Last updated

Mar 29, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1232841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332979200000",
    "number": "1851539118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13988 NEW BRADDOCK RD",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201213502",
            "telephone_number": "240-460-5150",
            "fax_number": "240-342-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10807 MAIN ST",
            "address_2": "800",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220304730",
            "telephone_number": "240-460-5150",
            "fax_number": "240-342-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISEMAN",
        "first_name": "CARMEL",
        "middle_name": "DEKEL",
        "name_prefix": "Dr.",
        "credential": "D.C., D.I.C.C.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-25",
        "last_updated": "2012-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "VA",
            "license": "0104556504",
            "primary": true
        },
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "MD",
            "license": "S03521",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Wire, MS, OTR/L
• John W. Wires, PH.D.
• Karen N Wires, CCC,SLP
• Mikhel Wirtanen, L.S.S.W
• Shannon M Wise, MM, MS
• Daniela Grit Wiseman
• Wish Home Care LLC
• Marc Wish, M.D., FACC
• Noah A Wisnieski
• Laura Lee Wisotzkey

• Pediatric Chiropractor in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Pediatric Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.