Active NPI
Wilke Chiropractic Office SC
- Chiropractor
- Evansville, WI
National Provider Identifier
1861683336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3895 012
- Legal business name
- WILKE CHIROPRACTIC OFFICE SC
- Practice address
- 503 East Main Street
Evansville, WI 53536-1131 - Phone
- (608) 882-4146
- Fax
- (608) 882-4010
- NPI assigned
- Aug 8, 2007
- Last updated
- Aug 8, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Peter John Wilke, DC
- Title
- Owner
- Phone
- (608) 882-4146
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3895 012 | WI | Primary |
Addresses
Primary practice location
503 East Main Street
Evansville, WI 53536-1131
Mailing address
503 East Main Street
Evansville, WI 53536-1131
Phone (608) 882-4146
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38941900 | Medicaid | WI | |
| 534673 | Other | DEAN HEALTH PLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
802B 23rd St
Brodhead, WI 53520
Phone (608) 897-3010
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Evansville, WI
- NPI 1134289242
-
- Chiropractor
- Evansville, WI
- NPI 1609554005
-
- Chiropractor
- Evansville, WI
- NPI 1417402678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186531200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1186531200000",
"number": "1861683336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "503 EAST MAIN STREET",
"city": "EVANSVILLE",
"state": "WI",
"postal_code": "535361131",
"telephone_number": "608-882-4146",
"fax_number": "608-882-4010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "503 EAST MAIN STREET",
"city": "EVANSVILLE",
"state": "WI",
"postal_code": "535361131",
"telephone_number": "608-882-4146",
"fax_number": "608-882-4010"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILKE CHIROPRACTIC OFFICE SC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-08",
"last_updated": "2007-08-08",
"status": "A",
"authorized_official_last_name": "WILKE",
"authorized_official_first_name": "PETER",
"authorized_official_middle_name": "JOHN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "608-882-4146",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "3895 012",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38941900",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEAN HEALTH PLAN",
"identifier": "534673",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Evansville, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.