CARLI MARIE VANGOETHEM DC
NPI 1306583687
Chiropractor in Kewaunee, WI

Active since May 17, 2022
402 ELLIS ST, KEWAUNEE, WI 54216(920) 388-4499 Get Directions Write a Review

NPPES record last updated: March 15, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 15, 2023, Jan 13, 2023, May 17, 2022 (3 updates tracked since 2022).

About Carli Marie Vangoethem Dc NPPES

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

CARLI MARIE VANGOETHEM DC (NPI 1306583687) is an individual chiropractor in Kewaunee, Wisconsin, licensed in Wisconsin (5778-12) and active in the NPI registry since May 2022. She maintains a secondary practice location in Des Moines.

NPPES Registry Identity

NPI1306583687
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameCARLI MARIE VANGOETHEMCredential: DC
Location Address402 ELLIS STKewaunee, WI 54216-1329
Mailing Address402 Ellis StKewaunee, WI 54216-1329 · (920) 621-1854
Sole ProprietorYes
Enumeration DateMay 17, 2022
Last NPPES UpdateMarch 15, 20233 updates tracked since enumeration
NPPES CertifiedMarch 15, 2023
NPI 1306583687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Licenses Licensed in WI · 5778-12 Licensed in IA · 114461
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.
Also ListedChiropractor · NutritionTaxonomy 111NN1001X · License 5778-12 (WI)
Also ListedChiropractor · RadiologyTaxonomy 111NR0200X · License 5778-12 (WI)
402 ELLIS ST, Kewaunee, WI 54216

Secondary Practice Location 1

Location 11906 Ingersoll AveDes Moines, IA 50309-3321 · Phone (515) 225-2237

Other Providers at the Same Location NPPES 4

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

Chiropractor
402 ELLIS ST
KEWAUNEE, WI 54216
Chiropractor
402 ELLIS ST
KEWAUNEE, WI 54216
Chiropractor
402 ELLIS ST
KEWAUNEE, WI 54216
Chiropractor
402 ELLIS ST
KEWAUNEE, WI 54216

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 Carli Vangoethem's NPI number?

The NPI number for Carli Vangoethem is 1306583687. It was assigned to this individual provider in the NPPES registry on May 17, 2022.

Where is Carli Vangoethem located?

Carli Vangoethem practices at 402 Ellis St, Kewaunee, WI 54216. The listed phone number is (920) 388-4499.

What is Carli Vangoethem's specialty?

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

When was this NPI record last updated?

The NPPES record for Carli Vangoethem was last updated on March 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.