Individual provider Active NPI

Toby Jayne Hawkes, D.C.

  • Chiropractor
  • Paddock Lake, WI
National Provider Identifier
1003973108
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3089-012 Issued in WI
Practice address
24706 75TH St.
Suite 200
Paddock Lake, WI 53168
Phone
(262) 843-1939
NPI assigned
Jan 2, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3089-012 WI Primary

Addresses

Primary practice location

24706 75TH St.
Suite 200
Paddock Lake, WI 53168

Mailing address

24706 75TH St.
Suite 200
Paddock Lake, WI 53168
Phone (262) 843-1939

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110516000286 WI Practitioner - Chiropractic 1355527003 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1993
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

24706 75TH St
Suite 200
Salem, WI 53168-9727
Phone (262) 843-1939

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3089-012WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Westosha Family Chiropractic LLC CurrentSince May 16, 2011 Accepting new patients

Locations

24706 75th St
Ste 200
Salem, WI 53168
Phone (262) 843-1939

Networks

  • IL PPO Downstate
  • IL HMO C-SNP
  • devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003973108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24706 75TH ST.",
            "address_2": "SUITE 200",
            "city": "PADDOCK LAKE",
            "state": "WI",
            "postal_code": "53168",
            "telephone_number": "262-843-1939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24706 75TH ST.",
            "address_2": "SUITE 200",
            "city": "PADDOCK LAKE",
            "state": "WI",
            "postal_code": "53168",
            "telephone_number": "262-843-1939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKES",
        "first_name": "TOBY",
        "middle_name": "JAYNE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3089-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paddock Lake, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.