Organization Active NPI

Hauck Chiropractic, LLC

  • Chiropractor
  • Hastings, MN
National Provider Identifier
1053656157
Registry record updated Nov 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5691 Issued in MN
Legal business name
HAUCK CHIROPRACTIC, LLC
Practice address
215 Ramsey St
Hastings, MN 55033-1220
Phone
(414) 248-0011
NPI assigned
Nov 30, 2012
Last updated
Nov 30, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2012

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

Authorized official

Name
Dr. Emily Joy Hauck, D.C.NPI 1306132048
Title
Chiropractor
Phone
(414) 248-0011

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5691 MN Primary

Addresses

Primary practice location

215 Ramsey St
Hastings, MN 55033-1220

Mailing address

5900 Hodgson Rd
Shoreview, MN 55126-4671
Phone (414) 248-0011

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130225000460 MN Part B Supplier - Clinic/Group Practice 0941455802 Receives reassigned benefits from 1 practitioner
Practice locations: Hastings, MN

National Provider Directory

National Provider Directory

Locations

215 Ramsey St
Hastings, MN 55033
Phone (414) 248-0011

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1354233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354233600000",
    "number": "1053656157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 HODGSON RD",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551264671",
            "telephone_number": "414-248-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 RAMSEY ST",
            "city": "HASTINGS",
            "state": "MN",
            "postal_code": "550331220",
            "telephone_number": "414-248-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAUCK CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-30",
        "last_updated": "2012-11-30",
        "status": "A",
        "authorized_official_last_name": "HAUCK",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "414-248-0011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hastings, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.