Lake Delton Chiropractic Clinic LLC
NPI 1619087871 · Chiropractor · Wisconsin Dells, WI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lake Delton Chiropractic Clinic LLC is a Chiropractor organization in Wisconsin Dells, WI (NPI 1619087871).
Provider details
- NPI number
- 1619087871
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Todd Bauer, Owner(608) 697-9994
- License
- 4029-012 (WI)
Specialties & taxonomies
Chiropractic Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Healthsource Chiropractic & Progressive Wellness
- Doing business as
- Healthsource Chiropractic & Progressive Wellness
Registry dates
- Enumerated
- 2006-08-30
- Last updated
- 2019-05-17
Frequently asked questions
- What is Lake Delton Chiropractic Clinic LLC's NPI number?
- Lake Delton Chiropractic Clinic LLC's National Provider Identifier (NPI) is 1619087871, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Delton Chiropractic Clinic LLC?
- Lake Delton Chiropractic Clinic LLC is classified in the NPPES registry as Chiropractor (Chiropractic Providers).
- Where is Lake Delton Chiropractic Clinic LLC located?
- Lake Delton Chiropractic Clinic LLC's practice location on file with NPPES is 151 Wisconsin Dells Pkwy S, Wisconsin Dells, WI 53965.
- What is Lake Delton Chiropractic Clinic LLC's phone number?
- The practice phone number listed in the NPPES registry for Lake Delton Chiropractic Clinic LLC is (608) 253-0102.
- Does Lake Delton Chiropractic Clinic LLC accept Medicare?
- Lake Delton Chiropractic Clinic LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Lake Delton Chiropractic Clinic LLC?
- The authorized official listed on Lake Delton Chiropractic Clinic LLC's NPPES record is Todd Bauer, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Delton Chiropractic Clinic LLC's NPI active?
- Yes — Lake Delton Chiropractic Clinic LLC's NPI (1619087871) is active in the NPPES registry as of the last update on 2019-05-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.