Active NPI
Martin Joepeck, D.C.
- Chiropractor
- West Allis, WI
National Provider Identifier
1154456770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3789-012
- Practice address
- 3044 S 92ND St
West Allis, WI 53227-3678 - Phone
- (414) 545-5433
- Fax
- (414) 545-6757
- NPI assigned
- Feb 22, 2007
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3789-012 | WI | Primary |
Addresses
Primary practice location
3044 S 92ND St
West Allis, WI 53227-3678
Mailing address
1101 S 86TH St
West Allis, WI 53214-2969
Phone (414) 517-6487
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38933400 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3044 S 92ND St
West Allis, WI 53227-3678
Phone (414) 545-5433
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3789-012 | WI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ultimate Life Chiropractic Inc. | Chiropractor | Current | Accepting new patients |
Locations
3044 S 92nd St
West Allis, WI 53227
Phone (414) 321-7744
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 and National Provider Directory roles.
-
- Chiropractor
- Milwaukee, WI
- NPI 1215134242
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202342400000",
"number": "1154456770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 S 86TH ST",
"city": "WEST ALLIS",
"state": "WI",
"postal_code": "532142969",
"telephone_number": "414-517-6487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3044 S 92ND ST",
"city": "WEST ALLIS",
"state": "WI",
"postal_code": "532273678",
"telephone_number": "414-545-5433",
"fax_number": "414-545-6757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOEPECK",
"first_name": "MARTIN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-22",
"last_updated": "2008-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "3789-012",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38933400",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Allis, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.