Individual provider Active NPI

Nicholas Lee Herbert, D.C.

  • Chiropractor
  • Franklin, WI
National Provider Identifier
1417340845
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5765-12 Issued in WI
Practice address
7133 S 76TH St
Franklin, WI 53132-9736
Phone
(414) 858-1212
NPI assigned
Mar 10, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4544 NC
Chiropractor 111N00000X 5765-12 WI Primary

Addresses

Primary practice location

7133 S 76TH St
Franklin, WI 53132-9736

Mailing address

7133 S 76TH St
Franklin, WI 53132-9736
Phone (414) 858-1212

Other practice location 1

501 W Kieffer Rd
Michigan City, IN 46360-9580
Phone (630) 991-0031

Other practice location 2

806 Hines St W
Wilson, NC 27893-3022
Phone (252) 237-2167

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190122002146 IN Practitioner - Chiropractic 5597085340
I20220902000921 WI Practitioner - Chiropractic 5597085340 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7133 S 76TH St
Franklin, WI 53132-9736
Phone (414) 858-1212

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5765-12WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Hicks Chiropractic Center, LLC Chiropractor CurrentSince Jan 14, 2019 Accepting new patients
Rhythm of Life Chiropractic LLC Chiropractor CurrentSince Jun 2, 2022 Accepting new patients
Rolc LLC Chiropractor CurrentSince Jun 2, 2022 Accepting new patients
Carolina Concussion Care Chiropractor PastSince Nov 17, 2019 Accepting new patients

Locations

501 W Kieffer Rd
Michigan City, IN 46360
Phone (219) 879-2177

7133 S 76th St
Franklin, WI 53132
Phone (414) 858-1212

Organizations & group practices 4

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": "1425945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1417340845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7133 S 76TH ST",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531329736",
            "telephone_number": "414-858-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7133 S 76TH ST",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531329736",
            "telephone_number": "414-858-1212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 W Kieffer Rd",
            "address_purpose": "LOCATION",
            "city": "Michigan City",
            "state": "IN",
            "postal_code": "463609580",
            "country_code": "US",
            "telephone_number": "630-991-0031",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "806 Hines St W",
            "address_purpose": "LOCATION",
            "city": "Wilson",
            "state": "NC",
            "postal_code": "278933022",
            "country_code": "US",
            "telephone_number": "252-237-2167",
            "fax_number": "252-237-2167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERBERT",
        "first_name": "NICHOLAS",
        "middle_name": "LEE",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-10",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4544",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5765-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.