Active NPI
Karl Huebner, D.C.
- Chiropractor
- De Pere, WI
National Provider Identifier
1285059980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4996-12
- Practice address
- 3108 Mid Valley Dr
De Pere, WI 54115-9436 - Phone
- (920) 515-0990
- NPI assigned
- Mar 4, 2014
- 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 | 4996-12 | WI | Primary |
Addresses
Primary practice location
3108 Mid Valley Dr
De Pere, WI 54115-9436
Mailing address
3108 Mid Valley Dr
De Pere, WI 54115-9436
Phone (920) 515-0990
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592438400000",
"number": "1285059980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3108 MID VALLEY DR",
"city": "DE PERE",
"state": "WI",
"postal_code": "541159436",
"telephone_number": "920-515-0990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3108 MID VALLEY DR",
"city": "DE PERE",
"state": "WI",
"postal_code": "541159436",
"telephone_number": "920-515-0990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUEBNER",
"first_name": "KARL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-03-04",
"last_updated": "2020-06-18",
"certification_date": "2020-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "4996-12",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in De Pere, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.