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WIESZTORT FAMILY CHIROPRACTIC CLINIC, S.C.
NPI 1033281167
Chiropractor in Kenosha, WI

Active since November 14, 2006
4014 77TH ST STE 2, KENOSHA, WI 53142(262) 694-3530(262) 925-8810 Get Directions Write a Review

NPPES record last updated: April 22, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Wiesztort Family Chiropractic Clinic, S.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WIESZTORT FAMILY CHIROPRACTIC CLINIC, S.C. (NPI 1033281167) is a healthcare organization registered as a chiropractor in Kenosha, Wisconsin and active in the NPI registry since November 2006. The organization lists Walter Rudolph Wiesztort, President, as its authorized official.

NPPES Registry Identity

NPI1033281167
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameWIESZTORT FAMILY CHIROPRACTIC CLINIC, S.C.
Location Address4014 77TH ST STE 2Kenosha, WI 53142-4314
Mailing Address4014 77th St Ste 2Kenosha, WI 53142-4314 · (262) 694-3530 · Fax (262) 925-8810
Phone(262) 694-3530
Fax(262) 925-8810
Organization SubpartNo
Authorized OfficialWalter Rudolph WiesztortPresident · (262) 694-3530
Enumeration DateNovember 14, 2006
Last NPPES UpdateApril 22, 2008
✔ NPI 1033281167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WI · 3514
Definition
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.
4014 77TH ST STE 2, Kenosha, WI 53142
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Other Identifiers 4

Medicare PIN000035423WI
Medicare UPINU75790WI
Medicare NSC4492770001WI
Medicaid38911900WI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wiesztort Family Chiropractic Clinic, S.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Wiesztort Family Chiropractic Clinic, S.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Walter Wiesztort, D.C.
Chiropractic
NPI 1003814336
4014 77TH ST STE. 2
Kenosha, WI 53142
(262) 694-3530
✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wiesztort Family Chiropractic Clinic, S.C.'s NPI number?

The NPI number for Wiesztort Family Chiropractic Clinic, S.C. is 1033281167. It was assigned to this organization in the NPPES registry on November 14, 2006.

Where is Wiesztort Family Chiropractic Clinic, S.C. located?

Wiesztort Family Chiropractic Clinic, S.C. is located at 4014 77th St Ste 2, Kenosha, WI 53142. The listed phone number is (262) 694-3530.

What is Wiesztort Family Chiropractic Clinic, S.C.'s specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Wiesztort Family Chiropractic Clinic, S.C. enrolled in Medicare?

Yes. Wiesztort Family Chiropractic Clinic, S.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wiesztort Family Chiropractic Clinic, S.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Wiesztort Family Chiropractic Clinic, S.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Wiesztort Family Chiropractic Clinic, S.C. was last updated on April 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.