VANDER WIELEN HEALTH & WELLNESS DIAGNOSTIC CENTER, LLC
NPI 1063741015
Chiropractor - Internist in Menasha, WI
NPI Status: Active since December 21, 2009
Contact Information
1486 KENWOOD DR
MENASHA, WI
ZIP 54952
Phone: (920) 722-2100
Fax: (920) 722-2100
- Organization
- Chiropractor
- Internist
- CLIA Number: 52D2001466
- CLIA Cert. Type: Practitioner Other
- CLIA Exp. Date: 12-20-2027
About VANDER WIELEN HEALTH & WELLNESS DIAGNOSTIC CENTER, LLC
This page provides the complete NPI Profile along with additional information for Vander Wielen Health & Wellness Diagnostic Center, Llc, a provider established in Menasha, Wisconsin operating as a Chiropractor, focusing in internist . The healthcare provider is registered in the NPI registry with number 1063741015 assigned on December 2009. The practitioner's primary taxonomy code is 111NI0900X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Scott Martin Vander Wielen D.c. (Registered Agent)
- NPI
- 1063741015
- Provider Name
- VANDER WIELEN HEALTH & WELLNESS DIAGNOSTIC CENTER, LLC
- Entity Type
- Organization
- Location Address
- 1486 KENWOOD DR MENASHA, WI 54952
- Location Phone
- (920) 722-2100
- Location Fax
- (920) 722-2100
- Mailing Address
- 1486 KENWOOD DR MENASHA, WI 54952
- Mailing Phone
- (920) 722-2100
- Mailing Fax
- (920) 722-2100
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-21-2009
- Last Update Date
- 06-16-2022
- Code Navigator
A chiropractor like Vander Wielen Health & Wellness Diagnostic Center, Llc helps patients with problems of the neuromusculoskeletal system, which includes nerves, bones, muscles, ligaments, and tendons. Chiropractors use spinal adjustments and manipulation, as well as other clinical interventions, to manage health issues such as back and neck pain. Some chiropractors apply procedures like massage therapy, rehabilitative exercise, ultrasound and spinal adjustments and manipulation. A chiropractor focuses on the patients overall health and might refer patients to other healthcare professionals if necessary.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Chiropractor Internist
- Taxonomy Code
- 111NI0900X
- Type
- Chiropractic Providers
- Taxonomy Description
- The chiropractic internist may serve as a primary care physician or may see patients referred from other providers for evaluation and co-management. Evaluation is focused on the early detection of functional, nutritional, and pathological disorders. A chiropractic internist utilizes the diagnostic instruments necessary for proper examination. In cases where laboratory examination is necessary, a chiropractic internist utilizes a recognized reference laboratory facility. A chiropractic internist may manage his or her own cases or may refer to another specialist when prudent to do so. The chiropractic internist utilizes documented natural therapies, therapeutic lifestyle changes, patient education and other resources to promote patient health and avoidance of disease.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 52D2001466
- Facility Type
- Practitioner Other
- Certificate Effective Date
- December 21, 2025
- Certificate Expiration Date
- December 20, 2027
- Laboratory Director
- DR. SCOTT M. VANDER WIELEN DC
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Vander Wielen Health & Wellness Diagnostic Center, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1063741015, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 45. The final step is to find the difference between that total and the next multiple of ten (50 - 45 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 45 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063741015, enumerated as an "organization" on December 21, 2009.
The provider is located at 1486 KENWOOD DR MENASHA, WI 54952 and the phone number is (920) 722-2100.
Chiropractor with taxonomy code 111NI0900X and a focus in Internist.
