NPIMap

Organization Active NPI

Dcdo, Inc.

  • Clinic/Center
  • Brookfield, WI
National Provider Identifier
1376689414
Registry record updated Jan 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
4260-12 Issued in WI
Legal business name
DCDO, INC.
Practice address
19035 W Capitol Dr
Suite 100
Brookfield, WI 53045-2755
Phone
(262) 695-6744
Fax
(262) 695-6466
NPI assigned
Jan 29, 2007
Last updated
Jan 14, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2015

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

Authorized official

Name
Dr. Shane M Huber, DCNPI 1841353588
Title
President
Phone
(262) 695-6744

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 4260-12 WI Primary

Addresses

Primary practice location

19035 W Capitol Dr
Suite 100
Brookfield, WI 53045-2755

Mailing address

19035 W Capitol Dr
Suite 100
Brookfield, WI 53045-2755
Phone (262) 695-6744

National Provider Directory

National Provider Directory

Locations

1300 Capitol Dr
Ste E
Pewaukee, WI 53072
Phone (262) 650-0701

Practitioners & affiliated clinicians

Practitioners 12

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": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421193600000",
    "number": "1376689414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19035 W CAPITOL DR",
            "address_2": "SUITE 100",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530452755",
            "telephone_number": "262-695-6744",
            "fax_number": "262-695-6466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19035 W CAPITOL DR",
            "address_2": "SUITE 100",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530452755",
            "telephone_number": "262-695-6744",
            "fax_number": "262-695-6466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DCDO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2015-01-14",
        "status": "A",
        "authorized_official_last_name": "HUBER",
        "authorized_official_first_name": "SHANE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-695-6744",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WI",
            "license": "4260-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; 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.