Organization Active NPI

Ideal Human LLC

  • Chiropractor
  • Sussex, WI
National Provider Identifier
1285589143
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
IDEAL HUMAN LLC
Practice address
N64W24801 Main St Ste 119
Sussex, WI 53089-2652
Phone
(262) 312-4075
NPI assigned
Mar 4, 2026
Last updated
Mar 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Authorized official

Name
Stephen Philippe Moreau, D.C.NPI 1902256498
Title
Owner/Physician
Phone
(262) 372-4075

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
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

N64W24801 Main St Ste 119
Sussex, WI 53089-2652

Mailing address

N64W24801 Main St Ste 119
Sussex, WI 53089-2652
Phone (262) 312-4075

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260416002452 WI Part B Supplier - Clinic/Group Practice 6103392238 Receives reassigned benefits from 1 practitioner
Practice locations: Sussex, WI

National Provider Directory

National Provider Directory

Locations

N64W24801 Main St
Ste 119
Sussex, WI 53089
Phone (262) 246-3000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1772582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772582400000",
    "number": "1285589143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N64W24801 MAIN ST STE 119",
            "city": "SUSSEX",
            "state": "WI",
            "postal_code": "530892652",
            "telephone_number": "262-312-4075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N64W24801 MAIN ST STE 119",
            "city": "SUSSEX",
            "state": "WI",
            "postal_code": "530892652",
            "telephone_number": "262-312-4075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL HUMAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-04",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A",
        "authorized_official_last_name": "MOREAU",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "PHILIPPE",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "262-372-4075",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sussex, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; 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.