Organization Active NPI

Hyatt Chiropractic SC

  • Chiropractor
  • Oak Creek, WI
National Provider Identifier
1124387303
Registry record updated Feb 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2545-12 Issued in WI
Legal business name
HYATT CHIROPRACTIC SC
Practice address
7001 S Howell Ave
Suite 700
Oak Creek, WI 53154-1402
Phone
(414) 856-1900
Fax
(414) 856-1901
NPI assigned
May 9, 2012
Last updated
Feb 21, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2013

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

Authorized official

Name
Dr. Daniel E Hyatt, D.C.NPI 1932272507
Title
President
Phone
(414) 856-1900

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2545-12 WI Primary

Addresses

Primary practice location

7001 S Howell Ave
Suite 700
Oak Creek, WI 53154-1402

Mailing address

8435 S Shepard Ave
Oak Creek, WI 53154-3247
Phone (414) 687-0908

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120605000535 WI Part B Supplier - Clinic/Group Practice 0244494151 Receives reassigned benefits from 1 practitioner
Practice locations: Oak Creek, WI

National Provider Directory

National Provider Directory

Locations

7003 S Howell Ave
Ste 1300
Oak Creek, WI 53154
Phone (414) 762-8626

7001 S Howell Ave
Ste 700
Oak Creek, WI 53154
Phone (414) 762-8626

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": "1336521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361404800000",
    "number": "1124387303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8435 S SHEPARD AVE",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531543247",
            "telephone_number": "414-687-0908",
            "fax_number": "414-856-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 S HOWELL AVE",
            "address_2": "SUITE 700",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531541402",
            "telephone_number": "414-856-1900",
            "fax_number": "414-856-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYATT CHIROPRACTIC SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-09",
        "last_updated": "2013-02-21",
        "status": "A",
        "authorized_official_last_name": "HYATT",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-856-1900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2545-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Creek, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2013; 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.