DR. CHRIS WILDENAUER (NPI# 1346341765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346341765 |
Entity Type | Individual |
Full Name | DR. CHRIS WILDENAUER |
Credential | D.C. |
Practice Address |
2137 Jackson Ave Seaford NY 11783-2605 |
Practice Telephone | 5167811018 |
Practice Fax Number | 5166792589 |
Mailing Telephone | 5167811018 |
Mailing Fax Number | 5166792589 |
Enumeration Date | 2006-09-26 |
Last Update Date | 2017-09-26 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | X009813 | NY | Chiropractic Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | RAIL ROAD MEDICARE | P00318049 | 01 |
NY | OXFORD ID NUMBER | P2115919 | 01 |
Street Address |
2137 JACKSON AVE |
City | SEAFORD |
State | NY |
Zip Code | 11783-2605 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174165633 | Emily Rose Demino | Physician Assistant | 3833 Morton Lane, Seaford, NY 11783 | 2019-10-16 |
1396260857 | Melissa Cestro | Social Worker | 2565 Harvard Lane, Seaford, NY 11783 | 2017-08-07 |
1033535745 | Ronna Pine | Licensed Practical Nurse | 3894 Jane Court, Seaford, NY 11783 | 2014-03-06 |
1871831974 | Joanne Sheridan | Speech-Language Pathologist | 751 Seamans Neck Road, East Broadway School, Seaford, NY 11783 | 2013-01-24 |
1154685840 | Cindy Schiralli | Specialist | The Hagedorn Little Village School, 650 Hicksville Road, Seaford, NY 11783 | 2012-06-27 |
1124389085 | Rosemary Ross | Specialist | 750 Hicksville Road, Seaford, NY 11783 | 2012-06-06 |
1760755326 | Seymour Tobin | Family Medicine | 4008 New York Ave, Seaford, NY 11783 | 2012-02-13 |
1104198811 | Lisl I Kast | Dentist | 3579 Merrick Rd, Senford, NY 11783 | 2012-01-27 |
1609146869 | Lisa Louise Gagliano | Speech-Language Pathologist | 1839 Dogwood Lane, Seaford, NY 11783 | 2012-01-05 |
1073843728 | Laura Musillo | Registered Nurse | 4125 Bayberry Lane, Seaford, NY 11783 | 2009-12-31 |
Find all providers in zip 11783 |
Taxonomy Code | 111N00000X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013329036 | Tnt Chiropractic Inc | Chiropractor | 22996 Sussex Hwy, Seaford, DE 19973-5861 | 2014-05-25 |
1700042975 | Kevin Michael Webb II | Chiropractor | 608 N Porter St, Seaford, DE 19973-2441 | 2008-08-06 |
1255501631 | Seaford Injury Treatment Center II LLC | Chiropractor | 302 Health Services Dr, Seaford, DE 19973-5770 | 2008-03-03 |
1225258197 | David A Long | Chiropractor | 1607 Middleford Rd, Seaford, DE 19973-3617 | 2007-04-26 |
1558494385 | Edwin J Juste | Chiropractor | 608 North Porter Street, Seaford, DE 19973 | 2007-03-13 |
1821155243 | Peter J. Puleo, D.c., P.C. | Chiropractor | 2566 Nelson Dr, Seaford, NY 11783-3615 | 2007-01-03 |
1427119924 | Michael Angelo Triglia | Chiropractor | 26685 Sussex Hwy, Seaford, DE 19973-8525 | 2006-12-12 |
1740357961 | Sunrise Chiropractic PC | Chiropractor | 3900 Sunrise Highway, Suite 1, Seaford, NY 11783 | 2006-11-30 |
1053499525 | Jay Rothstein | Chiropractor | 870 Seamans Neck Road, Seaford, NY 11783 | 2006-11-01 |
1659457190 | James G. Benenati | Chiropractor | 3807 Jerusalem Ave, Seaford, NY 11783-1606 | 2006-10-27 |
Find all providers in SEAFORD |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.