Organization Active NPI

Ultimate Life Chiropractic Inc.

  • Chiropractor
  • Milwaukee, WI
National Provider Identifier
1215134242
Registry record updated Jun 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3789-012 Issued in WI
Legal business name
ULTIMATE LIFE CHIROPRACTIC INC.
Practice address
3044 S 92ND St
Milwaukee, WI 53227-3678
Phone
(414) 545-5433
Fax
(414) 545-6757
NPI assigned
Jul 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2008

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

Authorized official

Name
Dr. Martin Joepeck, D.C.NPI 1154456770
Title
President
Phone
(414) 545-5433

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 3789-012 WI Primary

Addresses

Primary practice location

3044 S 92ND St
Milwaukee, WI 53227-3678

Mailing address

3044 S 92ND St
Milwaukee, WI 53227-3678
Phone (414) 545-5433

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080418000431 WI Part B Supplier - Clinic/Group Practice 2961580758 Receives reassigned benefits from 1 practitioner
Practice locations: West Allis, WI

National Provider Directory

National Provider Directory

Locations

3044 S 92nd St
West Allis, WI 53227
Phone (414) 321-7744

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213142400000",
    "number": "1215134242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3044 S 92ND ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532273678",
            "telephone_number": "414-545-5433",
            "fax_number": "414-545-6757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3044 S 92ND ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532273678",
            "telephone_number": "414-545-5433",
            "fax_number": "414-545-6757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTIMATE LIFE CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-02",
        "last_updated": "2008-06-11",
        "status": "A",
        "authorized_official_last_name": "JOEPECK",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-545-5433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3789-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; 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.