Daryl Wacker, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3695-012 Issued in WI

Practice address

430 W Union St Ste 2
Richland Center, WI 53581-2220

Phone

(608) 647-9100

Fax

(608) 647-9001

NPI assigned

Jul 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Wacker Chiropractic, LLC

  • Chiropractor
  • Richland Center, WI
  • NPI 1487795084
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1861418816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 W UNION ST STE 2",
            "city": "RICHLAND CENTER",
            "state": "WI",
            "postal_code": "535812220",
            "telephone_number": "608-647-9100",
            "fax_number": "608-647-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 W UNION ST STE 2",
            "city": "RICHLAND CENTER",
            "state": "WI",
            "postal_code": "535812220",
            "telephone_number": "608-647-9100",
            "fax_number": "608-647-9001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "186 E Mill St",
            "address_purpose": "LOCATION",
            "city": "Richland Center",
            "state": "WI",
            "postal_code": "535812241",
            "country_code": "US",
            "telephone_number": "608-647-9100",
            "fax_number": "608-647-9001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "186 E Mill St",
            "address_purpose": "LOCATION",
            "city": "Richland Center",
            "state": "WI",
            "postal_code": "535812241",
            "country_code": "US",
            "telephone_number": "608-647-9100",
            "fax_number": "608-647-9001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WACKER",
        "first_name": "DARYL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3695-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi Unbehaun
• Uro GYN Consultations LLC
• Brandon Vangalen
• Bruce Todd Vermilyea, DDS
• Wacker Chiropractic, LLC
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Bradford P Walker, OD
• Diane L Walker, OD
• Lisa Michelle Waltz, RPH

• Chiropractor in Richland Center, WI
• Providers in Richland Center, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.