Individual provider Active NPI

John Leonard Staranko, DC

  • Chiropractor
  • Mequon, WI
National Provider Identifier
1245720291
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5388-12 Issued in WI
Practice address
11129 N Wauwatosa Rd
Mequon, WI 53097-3431
Phone
(414) 354-5377
Fax
(414) 354-0523
NPI assigned
May 15, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5388-12 WI Primary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 038013214 IL

Addresses

Primary practice location

11129 N Wauwatosa Rd
Mequon, WI 53097-3431

Mailing address

11129 N Wauwatosa Rd
Mequon, WI 53097-3431
Phone (414) 354-5377

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190316000037 WI Practitioner - Chiropractic 3072852748 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chiropractic Company - Brown Deer LTDGroup PAC ID 8628255718, 4 clinicians

Practice addresses (Care Compare)

11129 N Wauwatosa Rd
Mequon, WI 53097-3431
Phone (414) 354-5377

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038013214ILMDChiropractor
5388-12WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Company - Oconomowoc LTD Chiropractor CurrentSince May 1, 2020 Accepting new patients
Chiropractic Company - Brown Deer LTD Chiropractor CurrentSince Sep 25, 2021 Accepting new patients

Locations

11129 N Wauwatosa Rd
Mequon, WI 53097
Phone (414) 354-5377

1300 N Summit Ave
Ste 201
Summit, WI 53066
Phone (262) 244-5004

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1245720291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11129 N WAUWATOSA RD",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530973431",
            "telephone_number": "414-354-5377",
            "fax_number": "414-354-5377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11129 N WAUWATOSA RD",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530973431",
            "telephone_number": "414-354-5377",
            "fax_number": "414-354-0523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARANKO",
        "first_name": "JOHN",
        "middle_name": "LEONARD",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-15",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5388-12",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038013214",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mequon, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.