NPIMap

Organization Active NPI

Advanced Alternative Health Center LLC

  • Chiropractor
  • De Pere, WI
National Provider Identifier
1285090761
Registry record updated Jan 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4996-12 Issued in WI
Legal business name
ADVANCED ALTERNATIVE HEALTH CENTER LLC
Practice address
1700 Sand Acres Dr
Suite 5
De Pere, WI 54115-7563
Phone
(920) 360-5421
NPI assigned
Jan 13, 2016
Last updated
Jan 13, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2016

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

Authorized official

Name
Dr. Karl Huebner, D.C.
Title
Chiropractor
Phone
(920) 360-5421

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4996-12 WI Primary

Addresses

Primary practice location

1700 Sand Acres Dr
Suite 5
De Pere, WI 54115-7563

Mailing address

1700 Sand Acres Dr
Suite 5
De Pere, WI 54115-7563
Phone (920) 360-5421

National Provider Directory

National Provider Directory

Locations

1700 Sand Acres Dr
Ste 5
De Pere, WI 54115
Phone (920) 360-5421

NPI Registry JSON

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

{
    "created_epoch": "1452643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452643200000",
    "number": "1285090761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 SAND ACRES DR",
            "address_2": "SUITE 5",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541157563",
            "telephone_number": "920-360-5421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 SAND ACRES DR",
            "address_2": "SUITE 5",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541157563",
            "telephone_number": "920-360-5421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED ALTERNATIVE HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-13",
        "last_updated": "2016-01-13",
        "status": "A",
        "authorized_official_last_name": "HUEBNER",
        "authorized_official_first_name": "KARL",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "920-360-5421",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  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 Jan 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.