Active NPI
Ryan Weyenberg, DC
- Chiropractor
- Watertown, WI
National Provider Identifier
1871026096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5266
- Practice address
- 808 E Main St
Watertown, WI 53094-3934 - Phone
- (920) 206-7959
- Fax
- (920) 206-3272
- NPI assigned
- Apr 5, 2017
- 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 | 5266 | WI | Primary |
Addresses
Primary practice location
808 E Main St
Watertown, WI 53094-3934
Mailing address
105 Clarmar Dr
Sun Prairie, WI 53590-2675
Phone (608) 318-5929
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100066036 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
808 E Main St
Watertown, WI 53094-3934
Phone (920) 206-7959
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5266 | WI | MD | Physician Assistant |
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.
-
- Chiropractor
- Sun Prairie, WI
- NPI 1457343246
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775692800000",
"number": "1871026096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 CLARMAR DR",
"city": "SUN PRAIRIE",
"state": "WI",
"postal_code": "535902675",
"telephone_number": "608-318-5929",
"fax_number": "608-318-5922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "808 E MAIN ST",
"city": "WATERTOWN",
"state": "WI",
"postal_code": "530943934",
"telephone_number": "920-206-7959",
"fax_number": "920-206-3272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEYENBERG",
"first_name": "RYAN",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-05",
"last_updated": "2026-04-09",
"certification_date": "2026-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "5266",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100066036",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Watertown, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.