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MR. JEFFREY LEE WILD D.C.
NPI 1851419048
Chiropractor in Sheboygan, WI

Active since March 26, 2007
3411B LAKESHORE RD, SHEBOYGAN, WI 53083(920) 458-8886(920) 458-1128 Get Directions Write a Review

NPPES record last updated: March 18, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Jeffrey Lee Wild D.c. NPPES

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

MR. JEFFREY LEE WILD D.C. (NPI 1851419048) is an individual chiropractor in Sheboygan, Wisconsin, licensed in Wisconsin (2080-12) and active in the NPI registry since March 2007. He is a graduate of Palmer College Chiropractic - Davenport (1984).

NPPES Registry Identity

NPI1851419048
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameMR. JEFFREY LEE WILDCredential: D.C.
Location Address3411B LAKESHORE RDSheboygan, WI 53083-2902
Mailing Address3411b Lakeshore RdSheboygan, WI 53083-2902 · (920) 458-8886 · Fax (920) 458-1128
Phone(920) 458-8886
Fax(920) 458-1128
Sole ProprietorYes
Medical School CMSPalmer College Chiropractic - DavenportGraduated 1984
Enumeration DateMarch 26, 2007
Last NPPES UpdateMarch 18, 2019
✔ NPI 1851419048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Licenses✔ Licensed in WI · 2080-12✔ Licensed in WI · 2080-012
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.
3411B LAKESHORE RD, Sheboygan, WI 53083
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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 MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Jeffrey Lee Wild D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3577653286
PECOS Enrollment IDI20071219000157

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
205 services30 patients

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.

COLTON FAMILY CHIROPRACTIC, LLC
Chiropractor
3411B LAKESHORE RD
SHEBOYGAN, WI 53083
Sheboygan County (920) 458-8886
KATRINE KOERTING COLTON DC
Chiropractor
3411B LAKESHORE RD
SHEBOYGAN, WI 53083
Sheboygan County (920) 458-8886

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 Jeffrey Wild's NPI number?

The NPI number for Jeffrey Wild is 1851419048. It was assigned to this individual provider in the NPPES registry on March 26, 2007.

Where is Jeffrey Wild located?

Jeffrey Wild practices at 3411B Lakeshore Rd, Sheboygan, WI 53083. The listed phone number is (920) 458-8886.

What is Jeffrey Wild's specialty?

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

Is Jeffrey Wild enrolled in Medicare?

Yes. Jeffrey Wild is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jeffrey Wild was last updated on March 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.