Active NPI
Carl Heigl, D.C.
- Sports Physician Chiropractor
- Franklin, WI
National Provider Identifier
1114095007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 2336-012
- Practice address
- 3838 W Dory CT
Franklin, WI 53132-9099 - Phone
- (262) 215-7246
- NPI assigned
- Dec 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 2336-012 | WI | Primary |
Addresses
Primary practice location
3838 W Dory CT
Franklin, WI 53132-9099
Mailing address
3838 W Dory CT
Franklin, WI 53132-9099
Phone (262) 215-7246
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 76144192 | Other | WI | WAUSAU |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2336-012 | WI | MD | Sports Physician Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470787200000",
"number": "1114095007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3838 W DORY CT",
"city": "FRANKLIN",
"state": "WI",
"postal_code": "531329099",
"telephone_number": "262-215-7246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3838 W DORY CT",
"city": "FRANKLIN",
"state": "WI",
"postal_code": "531329099",
"telephone_number": "262-215-7246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEIGL",
"first_name": "CARL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-01",
"last_updated": "2016-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "WI",
"license": "2336-012",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WAUSAU",
"identifier": "76144192",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Franklin, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.