DR. JERROLD RICHARD WILDENAUER DC
NPI 1720091051
Chiropractor in West Saint Paul, MN

Active since August 15, 2006
1525 LIVINGSTON AVE, WEST SAINT PAUL, MN 55118(651) 455-5264(651) 455-1172 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Jerrold Richard Wildenauer Dc NPPES

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

DR. JERROLD RICHARD WILDENAUER DC (NPI 1720091051) is an individual chiropractor in West Saint Paul, Minnesota, licensed in Minnesota (1475) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1720091051
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JERROLD RICHARD WILDENAUERCredential: DC
Location Address1525 LIVINGSTON AVEWest Saint Paul, MN 55118-3411
Mailing Address1525 Livingston AveWest Saint Paul, MN 55118-3411 · (651) 455-5264 · Fax (651) 455-1172
Fax(651) 455-1172
Sole ProprietorNo
Enumeration DateAugust 15, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1720091051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in MN · 1475
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.
1525 LIVINGSTON AVE, West Saint Paul, MN 55118

Other Identifiers 1

Medicare UPINT39931

Other Providers at the Same Location NPPES 6

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

Chiropractor
1525 LIVINGSTON AVE
WEST SAINT PAUL, MN 55118
Dentist (General Practice)
1525 LIVINGSTON AVE
WEST SAINT PAUL, MN 55118
Dentist
1525 LIVINGSTON AVE, SUITE B
W. ST. PAUL, MN 55118
Chiropractor
1525 LIVINGSTON AVE
SAINT PAUL, MN 55118
Chiropractor
1525 LIVINGSTON AVE
WEST SAINT PAUL, MN 55118
Chiropractor
1525 LIVINGSTON AVE
WEST ST PAUL, MN 55118

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 Jerrold Wildenauer's NPI number?

The NPI number for Jerrold Wildenauer is 1720091051. It was assigned to this individual provider in the NPPES registry on August 15, 2006.

Where is Jerrold Wildenauer located?

Jerrold Wildenauer practices at 1525 Livingston Ave, West Saint Paul, MN 55118. The listed phone number is (651) 455-5264.

What is Jerrold Wildenauer'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 Jerrold Wildenauer was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.