Active NPI
De Pere Chiropractic Center, LLC
Doing business as De Pere Chiropractic Center
- Chiropractor
- De Pere, WI
National Provider Identifier
1083600654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- DE PERE CHIROPRACTIC CENTER, LLC
- Doing business as
- De Pere Chiropractic Center
- Practice address
- 820 George St
De Pere, WI 54115-2916 - Phone
- (920) 336-2921
- Fax
- (920) 425-4196
- NPI assigned
- Sep 20, 2005
- Last updated
- Sep 3, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jaceson L. Hauser, DC
- Title
- Owner
- Phone
- (920) 336-2921
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | WI | Primary |
Addresses
Primary practice location
820 George St
De Pere, WI 54115-2916
Mailing address
820 George St
De Pere, WI 54115-2916
Phone (920) 336-2921
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38991400 | Medicaid | WI |
Other names 1
- De Pere Chiropractic Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
820 George St
De Pere, WI 54115
Phone (920) 336-2921
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Chiropractor
- De Pere, WI
- NPI 1972788297
-
- Chiropractor
- De Pere, WI
- NPI 1093701567
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127174400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756857600000",
"number": "1083600654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 GEORGE ST",
"city": "DE PERE",
"state": "WI",
"postal_code": "541152916",
"telephone_number": "920-336-2921",
"fax_number": "920-425-4196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 GEORGE ST",
"city": "DE PERE",
"state": "WI",
"postal_code": "541152916",
"telephone_number": "920-336-2921",
"fax_number": "920-425-4196"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DE PERE CHIROPRACTIC CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-20",
"last_updated": "2025-09-03",
"certification_date": "2025-09-03",
"status": "A",
"authorized_official_last_name": "HAUSER",
"authorized_official_first_name": "JACESON",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "920-336-2921",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "WI",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38991400",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "De Pere Chiropractic Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in De Pere, WI
- Katelyn Dahlke, BCBA
- Kimberlee June Dallmann
- Carla Davis-Teye
- Howard W Davis, M.D.
- Stephanie Davison, BCBA
- De Pere Family Dentistry LLC
- De Pere Hometown Pharmacy LLC (De Pere Hometown Pharmacy)
- De Pere Smiles Acquisition Company S.C. (De Pere Smiles S.C.)
- Janet Katharina Deleers
- Delorey Chiropractic Clinic, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; 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.