Active NPI
Steven Kyle Wunnenberg, D.C.
- Chiropractor
- Bossier City, LA
National Provider Identifier
1851735534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1866
- Practice address
- 925 Benton Rd
Bossier City, LA 71111-3603 - Phone
- (318) 747-4433
- Fax
- (318) 747-4454
- NPI assigned
- Apr 24, 2013
- Last updated
- May 29, 2025
- Sex
- Male
- Sole proprietor
- No
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 | 1866 | LA | Primary |
Addresses
Primary practice location
925 Benton Rd
Bossier City, LA 71111-3603
Mailing address
925 Benton Rd
Bossier City, LA 71111-3603
Phone (318) 747-4433
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
925 Benton Rd
Bossier City, LA 71111-3603
Phone (318) 747-4433
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1866 | LA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wunnenberg Enterprises LLC | Chiropractor | Current | Accepting new patients |
Locations
925 Benton Rd
Bossier City, LA 71111
Phone (318) 344-4885
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748476800000",
"number": "1851735534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "925 BENTON RD",
"city": "BOSSIER CITY",
"state": "LA",
"postal_code": "711113603",
"telephone_number": "318-747-4433",
"fax_number": "318-747-4454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "925 BENTON RD",
"city": "BOSSIER CITY",
"state": "LA",
"postal_code": "711113603",
"telephone_number": "318-747-4433",
"fax_number": "318-747-4454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WUNNENBERG",
"first_name": "STEVEN",
"middle_name": "KYLE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-24",
"last_updated": "2025-05-29",
"certification_date": "2025-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "LA",
"license": "1866",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bossier City, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; 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.