DR. JOHN ANDREW WILD (NPI# 1780679704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780679704 |
| Entity Type | Individual |
| Full Name | DR. JOHN ANDREW WILD |
| Credential | DC |
| Practice Address |
905 Main Street Seward NE 68434-2072 |
| Practice Telephone | 4026436565 |
| Practice Fax Number | 4026434655 |
| Mailing Telephone | 4026436565 |
| Mailing Fax Number | 4026434655 |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2015-11-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 1017 | NE | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | TAX ID # | 470825365 | 01 |
| NE | MEDICARE PTAN | 272174 | 01 |
| NE | MEDICARE RR | 350046510 | 01 |
| NE | 47082536500 | 05 | |
| NE | NPI | 1780679704 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508245606 | John David Wild Jr. | Physical Therapist | 510 W Pine St, Ponchatoula, LA 70454-3738 | 2015-05-21 |
| 1629371562 | John Mullane Wild | Social Worker | 6161 W Charleston Blvd, Bldg. 3a Mct, Las Vegas, NV 89146-1126 | 2010-12-15 |
| 1619181856 | John James Wild IIi | Orthopaedic Surgery | 5301 E Grant Rd, Orthopaedic Bldg, 1st Floor, Tucson, AZ 85712-2805 | 2007-05-09 |
| 1811998404 | John J. Wild Jr. | Orthopaedic Surgery | 5301 E Grant Rd, Orthopaedic Bldg, 1st Floor, Tucson, AZ 85712-2805 | 2005-08-03 |
| Street Address |
905 MAIN STREET |
| City | SEWARD |
| State | NE |
| Zip Code | 68434-2072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831246990 | Wild Chiropractic, P.C. | Chiropractor | 905 Main Street, Seward, NE 68434-2072 | 2007-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588949549 | Danae C Eitzmann | Occupational Therapist | 239 South St. Apt 2, Seward, NE 68434 | 2011-10-20 |
| 1619164928 | Assisted Living Concepts Inc | Assisted Living Facility | 600 Church Street, Seward, NE 68434 | 2007-10-01 |
| 1407950983 | Richard A Rolfsmeier Dds PC | Dentist | 137 N 7th Street, Seward, NE 68434 | 2006-09-12 |
| 1124058375 | Lori L Wall | Psychologist | 319 S 14th St Ste 3, Seward, NE 68434 | 2006-07-04 |
| 1306164942 | Holly Marie Young | Nurse Practitioner | 300 N Columbia Ave, Seward, NE 68434 | 2010-05-06 |
| 1518039619 | Laura Jean Vandenberg | Counselor | 729 Seward St, Suite 2, Seward, NE 68434 | 2006-11-14 |
| 1225029754 | Matthew Joseph Kunasek | Dentist | 111 N 3rd St, Seward, NE 68434 | 2005-11-03 |
| 1366430837 | Anna Sundermann Home | Skilled Nursing Facility | 446 Pinewood Avenue, Seward, NE 68434-0009 | 2005-10-10 |
| 1639587033 | Bethany Kusek | Speech-Language Pathologist | 446 Pinewood Ave, Seward, NE 68434-1053 | 2014-07-29 |
| 1609022300 | Seward Living Center, Inc. | Skilled Nursing Facility | 624 Pinewood Ave, Seward, NE 68434-1055 | 2008-08-13 |
| Find all providers in zip 68434 | ||||
| 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 |
|---|---|---|---|---|
| 1164874665 | Grant Vlasin | Chiropractor | 306 S 4th Street, Suite 200, Seward, NE 68434-2108 | 2016-07-07 |
| 1033500095 | Dylan Miller | Chiropractor | 729 Seward St Ste 4, Seward, NE 68434-2069 | 2015-02-12 |
| 1720333206 | Jordon Scott Folkers | Chiropractor | 508 N 6th St, Seward, NE 68434-1706 | 2012-07-19 |
| 1174605141 | Lidia Theolinda Petersen | Chiropractor | 11694 Seward Hwy, Ste C, Seward, AK 99664 | 2006-10-19 |
| 1598781650 | Seward Chiropractic Center, P.C. | Chiropractor | 729 Seward St, Suite 4, Seward, NE 68434-2069 | 2006-07-14 |
| 1346215662 | Shawn Allen Svoboda | Chiropractor | 306 S. 4th Street, Suite 200, Seward, NE 68434-2108 | 2006-02-21 |
| 1962026021 | Arctic Chiropractic Seward | Chiropractor | 11694 Seward Hwy, Seward, AK 99664-9710 | 2020-06-04 |
| 1427678671 | Bell Chiropractic, P.C. | Chiropractor | 905 Main St, Seward, NE 68434-2047 | 2020-04-17 |
| 1528695657 | Jordan Lawrence Bell | Chiropractor | 905 Main St, Seward, NE 68434-2047 | 2020-03-26 |
| 1366804692 | Tyler Hackbart | Chiropractor | 508 N 6th St, Seward, NE 68434-1706 | 2016-03-25 |
| Find all providers in SEWARD | ||||
Please comment or provide details below to improve the information on DR. JOHN ANDREW WILD.
| 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.