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WILDE CHIROPRACTIC, LLC
NPI 1356454516
Chiropractor in American Fork, UT

Active since August 15, 2006
246 S 1100 E, AMERICAN FORK, UT 84003(801) 756-8833(801) 756-9014 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Wilde Chiropractic, Llc NPPES

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

WILDE CHIROPRACTIC, LLC (NPI 1356454516) is a healthcare organization registered as a chiropractor in American Fork, Utah and active in the NPI registry since August 2006. The organization lists Larry G Wilde, Owner, as its authorized official.

NPPES Registry Identity

NPI1356454516
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameWILDE CHIROPRACTIC, LLC
Location Address246 S 1100 EAmerican Fork, UT 84003-2829
Mailing Address246 S 1100 EAmerican Fork, UT 84003-2829 · (801) 756-8833 · Fax (801) 756-9014
Phone(801) 756-8833
Fax(801) 756-9014
Organization SubpartNo
Authorized OfficialLarry G WildeOwner · (801) 756-8833
Enumeration DateAugust 15, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1356454516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in UT · 290149-1202
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.
246 S 1100 E, American Fork, UT 84003
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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)

Wilde Chiropractic, Llc 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 Wilde Chiropractic, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Larry Wilde, D.C.
Chiropractic
NPI 1770515934
246 S 1100 E
American Fork, UT 84003
(890) 175-6883
✔ 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 Wilde Chiropractic, LLC's NPI number?

The NPI number for Wilde Chiropractic, LLC is 1356454516. It was assigned to this organization in the NPPES registry on August 15, 2006.

Where is Wilde Chiropractic, LLC located?

Wilde Chiropractic, LLC is located at 246 S 1100 E, American Fork, UT 84003. The listed phone number is (801) 756-8833.

What is Wilde Chiropractic, LLC's specialty?

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

Is Wilde Chiropractic, LLC enrolled in Medicare?

Yes. Wilde Chiropractic, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wilde Chiropractic, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Wilde Chiropractic, LLC. 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 Wilde Chiropractic, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.