Individual provider Active NPI

Steven Kyle Wunnenberg, D.C.

  • Chiropractor
  • Bossier City, LA
National Provider Identifier
1851735534
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1866 Issued in LA
Practice address
925 Benton Rd
Bossier City, LA 71111-3603
Phone
(318) 747-4433
Fax
(318) 747-4454
NPI assigned
Apr 24, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20200106000309 LA Practitioner - Chiropractic 5799119673 Reassigns benefits to 1 organization

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wunnenberg Enterprises LLC Chiropractor CurrentSince Sep 14, 2019 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 and National Provider Directory roles.

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.

Verify at the official NPI Registry.