1. Home
  2. Directory
  3. Wisconsin
  4. Pewaukee
  5. Chiropractor
  6. NPI Profile

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

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: July 19, 2026.

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
Open in Google Maps ↗

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, HealthPartners, Quartz.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TAD ALAN DICIAULA D.C.
Chiropractor
213 W WISCONSIN AVE
PEWAUKEE, WI 53072
Waukesha County (262) 695-0022
DR. BRADLEY WILLIAM NUTTING D.C.
Chiropractor
213 W WISCONSIN AVE
PEWAUKEE, WI 53072
Waukesha County (262) 695-0022

Frequently Asked Questions

What is DICIAULA HEALTH SERVICES, SC's NPI number?

The NPI number assigned to this healthcare provider is 1104031764, enumerated as an "organization" on May 14, 2007.

Where is the provider located?

The provider is located at 213 W WISCONSIN AVE PEWAUKEE, WI 53072 and the phone number is (262) 695-0022.

What is the provider's specialty?

Chiropractor with taxonomy code 111N00000X.

What insurance does DICIAULA HEALTH SERVICES, SC accept?

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, HealthPartners. Please consult your insurance carrier or call the provider to verify.