Individual provider Active NPI

Adam Robert Habeck, D.C.

  • Chiropractor
  • Lakewood, WI
National Provider Identifier
1174830244
Registry record updated Dec 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4633-12 Issued in WI
Practice address
15267 State Hwy. 32
Lakewood, WI 54138
Phone
(715) 276-3401
Fax
(715) 276-1533
NPI assigned
Sep 9, 2010
Last updated
Dec 13, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4633-12 WI Primary

Addresses

Primary practice location

15267 State Hwy. 32
Lakewood, WI 54138

Mailing address

PO Box 328
Lakewood, WI 54138-0328
Phone (715) 276-3401

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101108001266 WI Practitioner - Chiropractic 3779778410 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7665 US Hwy 2
Iron River, WI 54847-4690
Phone (715) 372-5001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4633-12WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
The Lakes Community Health Center, Inc CurrentSince Oct 28, 2019 Accepting new patients
The Lakes Community Health Center, Inc CurrentSince Oct 28, 2019 Accepting new patients
Nobles Chiropractic Wellness Center, LLC Chiropractor Past Accepting new patients
The Lakes Community Health Center, Inc Past Accepting new patients

Locations

300 Main St W
Ashland, WI 54806
Phone (715) 685-2200

7665 US Highway 2
Iron River, WI 54847
Phone (715) 372-5001

1435 Cleveland Ave
Marinette, WI 54143
Phone (715) 504-6419

Organizations & group practices 5

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": "1283990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513123200000",
    "number": "1174830244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 328",
            "city": "LAKEWOOD",
            "state": "WI",
            "postal_code": "541380328",
            "telephone_number": "715-276-3401",
            "fax_number": "715-276-1533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15267 STATE HWY. 32",
            "city": "LAKEWOOD",
            "state": "WI",
            "postal_code": "54138",
            "telephone_number": "715-276-3401",
            "fax_number": "715-276-1533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABECK",
        "first_name": "ADAM",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-09",
        "last_updated": "2017-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4633-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2017; 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.

Verify at the official NPI Registry.