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DR. KRISTOPHER WADE WAKEFIELD D.C. NPI 1154356285


NPI Information

NPI: 1154356285
Provider Name: DR. KRISTOPHER WADE WAKEFIELD, D.C.
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
448 COLE ST
BUSHNELL, IL
ZIP 61422
Phone: (309) 772-2317
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DR. Kristopher Wade Wakefield, D.C. is a chiropractor in Bushnell, IL with 29 years of experience. The provider is 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. DR. Kristopher Wade Wakefield, D.C. NPI is 1154356285. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NORTHWESTERN COLLEGE OF CHIROPRACTIC
Graduation Year:1995

The provider's business location address is:

448 COLE ST
BUSHNELL, IL
ZIP 61422-540
Phone: (309) 772-2317
Fax: (309) 772-2317

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Chiropractic manipulative treatment, 3 to 4 spinal regions (HCPCS:98941)
  • Chiropractic manipulative treatment, 1-2 spinal regions (HCPCS:98940)

The enumeration date for this NPI number is 7/11/2006 and was last updated on 10/1/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111NR0200XChiropractorRadiologyILLINOISNo
2111N00000XChiropractorILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1209655MEDICARE ID-TYPE UNSPECIFIEDILLINOISGROUP NUMBER
2K09513MEDICARE ID-TYPE UNSPECIFIEDILLINOISPROVIDER NUMBER
35522061OTHERILLINOISBC/BS NUMBER
4U59837MEDICARE UPINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.