Lake Delton Chiropractic Clinic LLC
NPI 1619087871ActiveOrganization· Chiropractor· Wisconsin Dells, WI
Chiropractor in Wisconsin Dells, Wisconsin, registered in NPPES in August 2006. The authorized official on file is Todd Joseph Bauer, D.C., Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1619087871 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 30, 2006 |
| Last updated in NPPES | May 17, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | 4029-012 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (WI) |
|---|
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