Individual provider Active NPI

Karl Thomas Noel Naujock, D.C.

  • Chiropractor
  • Hales Corners, WI
National Provider Identifier
1093713158
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3759 Issued in WI
Practice address
6220 S 108TH St
Suite C
Hales Corners, WI 53130-2527
Phone
(414) 425-7360
Fax
(414) 425-7621
NPI assigned
Jul 12, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
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 3759 WI Primary

Addresses

Primary practice location

6220 S 108TH St
Suite C
Hales Corners, WI 53130-2527

Mailing address

6220 S 108TH St
Suite C
Hales Corners, WI 53130-2527
Phone (414) 425-7360

Other identifiers 1

IdentifierTypeStateIssuer
38932200MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
3759WIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Audiology & Hearing Center, LLC PastSince Jun 26, 2020 Accepting new patients

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": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093713158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6220 S 108TH ST",
            "address_2": "SUITE C",
            "city": "HALES CORNERS",
            "state": "WI",
            "postal_code": "531302527",
            "telephone_number": "414-425-7360",
            "fax_number": "414-425-7621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6220 S 108TH ST",
            "address_2": "SUITE C",
            "city": "HALES CORNERS",
            "state": "WI",
            "postal_code": "531302527",
            "telephone_number": "414-425-7360",
            "fax_number": "414-425-7621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAUJOCK",
        "first_name": "KARL",
        "middle_name": "THOMAS NOEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38932200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hales Corners, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.