Individual provider Active NPI

Barry Micheal Radandt, D.C.

  • Neurology Chiropractor
  • Pewaukee, WI
National Provider Identifier
1861442949
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
2388 Issued in WI
Practice address
1840 Meadow LN
Suite D
Pewaukee, WI 53072-5576
Phone
(262) 650-9337
Fax
(262) 650-1659
NPI assigned
May 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Chiropractor 111NN0400X 2388 WI Primary

Addresses

Primary practice location

1840 Meadow LN
Suite D
Pewaukee, WI 53072-5576

Mailing address

1840 Meadow LN
Suite D
Pewaukee, WI 53072-5576
Phone (262) 650-9337

Other identifiers 1

IdentifierTypeStateIssuer
38951900MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060525000096 WI Practitioner - Chiropractic 8820009145 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2430 N Grandview Blvd
Unit C
Waukesha, WI 53188-6911
Phone (262) 542-2553

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2388WIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Luedtke-Storm-Mackey Chiropractic Clinic SC Past Accepting new patients
Wink Chiropractic Wellness Center, SC Neurology Past Accepting new patients

Organizations & group practices 3

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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1861442949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 MEADOW LN",
            "address_2": "SUITE D",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530725576",
            "telephone_number": "262-650-9337",
            "fax_number": "262-650-1659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 MEADOW LN",
            "address_2": "SUITE D",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530725576",
            "telephone_number": "262-650-9337",
            "fax_number": "262-650-1659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADANDT",
        "first_name": "BARRY",
        "middle_name": "MICHEAL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "WI",
            "license": "2388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38951900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pewaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.