Individual provider Active NPI

Joel Carroll Sengbusch, DC

  • Chiropractor
  • Hudson, WI
National Provider Identifier
1265512339
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3108 Issued in WI
Practice address
1610 Maxwell Dr
Ste. 100
Hudson, WI 54016-8709
Phone
(715) 386-9393
Fax
(715) 386-9885
NPI assigned
Oct 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3108 WI Primary

Addresses

Primary practice location

1610 Maxwell Dr
Ste. 100
Hudson, WI 54016-8709

Mailing address

1610 Maxwell Dr
Ste. 100
Hudson, WI 54016-8709
Phone (715) 386-9393

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050413000148 WI Practitioner - Chiropractic 2769429745 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Best Chiropractic Clinic SCGroup PAC ID 3274570403, 2 clinicians

Practice addresses (Care Compare)

1380 Hosford St
Hudson, WI 54016-9230
Phone (715) 386-9393

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3108WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Best Chiropractic Clinic SC Chiropractor CurrentSince May 1, 2005 Accepting new patients

Locations

1380 Hosford St
Hudson, WI 54016
Phone (715) 386-9393

1610 Maxwell Dr
Ste 100
Hudson, WI 54016
Phone (715) 386-9393

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.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265512339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 MAXWELL DR",
            "address_2": "STE. 100",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540168709",
            "telephone_number": "715-386-9393",
            "fax_number": "715-386-9885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 MAXWELL DR",
            "address_2": "STE. 100",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540168709",
            "telephone_number": "715-386-9393",
            "fax_number": "715-386-9885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENGBUSCH",
        "first_name": "JOEL",
        "middle_name": "CARROLL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.