Individual provider Active NPI

Richard G Habighorst, D.C.

  • Chiropractor
  • Menasha, WI
National Provider Identifier
1295778488
Registry record updated May 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1288 Issued in WI
Practice address
1981 Midway Rd
Suite a
Menasha, WI 54952-7001
Phone
(920) 882-7292
Fax
(920) 882-8973
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1288 WI Primary

Addresses

Primary practice location

1981 Midway Rd
Suite a
Menasha, WI 54952-7001

Mailing address

1981 Midway Rd
Suite a
Menasha, WI 54952-7001
Phone (920) 882-7292

Other identifiers 2

IdentifierTypeStateIssuer
38824900MedicaidWI
391451676012OtherBLUECROSS & BLUESHEILD

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

Practice roles

OrganizationSpecialtyStatusNew patients
Habighorst Chiropractic SC Chiropractor CurrentSince Oct 1, 1983 Accepting new patients
Scherer Family Chiropractic S C Chiropractor PastSince Jan 1, 2003 Accepting new patients

Locations

226 Main St
Menasha, WI 54952
Phone (920) 725-1972

1981 Midway Rd
Ste A
Menasha, WI 54952
Phone (920) 830-8700

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337817600000",
    "number": "1295778488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1981 MIDWAY RD",
            "address_2": "SUITE A",
            "city": "MENASHA",
            "state": "WI",
            "postal_code": "549527001",
            "telephone_number": "920-882-7292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1981 MIDWAY RD",
            "address_2": "SUITE A",
            "city": "MENASHA",
            "state": "WI",
            "postal_code": "549527001",
            "telephone_number": "920-882-7292",
            "fax_number": "920-882-8973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABIGHORST",
        "first_name": "RICHARD",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2012-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "1288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38824900",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS & BLUESHEILD",
            "identifier": "391451676012",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Menasha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2012; 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.