CHIROPRACTIC AND WELLNESS ON PEWAUKEE LAKE
NPI 1104031764
Chiropractor in Pewaukee, WI

Q: What is Diciaula Health Services, Sc's NPI number?

The NPI number for Diciaula Health Services, Sc is 1104031764. It was assigned to this organization in the NPPES registry on May 14, 2007. The provider is also known as Chiropractic And Wellness On Pewaukee Lake.

Q: What is Diciaula Health Services, Sc's specialty?

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

Active since May 14, 2007

213 W WISCONSIN AVE, PEWAUKEE, WI 53072(262) 695-0022(262) 695-0011 Get Directions Write a Review

NPPES record last updated: December 29, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Chiropractic And Wellness On Pewaukee Lake NPPES

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

CHIROPRACTIC AND WELLNESS ON PEWAUKEE LAKE (NPI 1104031764) is a healthcare organization registered as a chiropractor in Pewaukee, Wisconsin and active in the NPI registry since May 2007. The organization lists Tad A Diciaula, President, as its authorized official.

NPPES Registry Identity

NPI1104031764

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameDICIAULA HEALTH SERVICES, SC

Location Address213 W WISCONSIN AVEPewaukee, WI 53072-3435

Mailing Address213 W Wisconsin AvePewaukee, WI 53072-3435 · (262) 695-0022 · Fax (262) 695-0011

Phone(262) 695-0022

Fax(262) 695-0011

Organization SubpartNo

Authorized OfficialTad A DiciaulaPresident · (262) 695-0022

Enumeration DateMay 14, 2007

Last NPPES UpdateDecember 29, 2015

✔ NPI 1104031764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in WI · 3967-012

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.

213 W WISCONSIN AVE, Pewaukee, WI 53072

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Other Names 1

Other NameChiropractic And Wellness On Pewaukee Lake

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), HealthPartners and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chiropractic And Wellness On Pewaukee Lake is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Chiropractic And Wellness On Pewaukee Lake, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Tad Diciaula, D.C.

Chiropractic

NPI 1124181680

213 W WISCONSIN AVE
Pewaukee, WI 53072

(262) 695-0022

✔ Accepts MedicareSame address

Bradley Nutting, D.C.

Chiropractic

NPI 1558536185

213 W WISCONSIN AVE
Pewaukee, WI 53072

(262) 695-0022

✔ 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 Diciaula Health Services, Sc's NPI number?

The NPI number for Diciaula Health Services, Sc is 1104031764. It was assigned to this organization in the NPPES registry on May 14, 2007. The provider is also known as Chiropractic And Wellness On Pewaukee Lake.

Where is Diciaula Health Services, Sc located?

Diciaula Health Services, Sc is located at 213 W Wisconsin Ave, Pewaukee, WI 53072. The listed phone number is (262) 695-0022.

What is Diciaula Health Services, Sc's specialty?

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

Is Diciaula Health Services, Sc enrolled in Medicare?

Yes. Diciaula Health Services, Sc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Diciaula Health Services, Sc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Diciaula Health Services, Sc. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Diciaula Health Services, Sc accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), HealthPartners and Quartz list Diciaula Health Services, Sc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Diciaula Health Services, Sc was last updated on December 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.