Organization Active NPI

Rising Health Chiropractic Wellness Corp

  • Clinic/Center
  • Pewaukee, WI
National Provider Identifier
1508232125
Registry record updated Aug 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
3975-012 Issued in WI
Legal business name
RISING HEALTH CHIROPRACTIC WELLNESS CORP
Practice address
601 Ryan St
Suite F
Pewaukee, WI 53072-1844
Phone
(262) 695-9698
Fax
(262) 695-0144
NPI assigned
Aug 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2015

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

Authorized official

Name
Dr. James Michael Hauke, DCNPI 1851455109
Title
Owner/ President
Phone
(262) 695-9698

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
Clinic/Center 261Q00000X 3975-012 WI Primary

Addresses

Primary practice location

601 Ryan St
Suite F
Pewaukee, WI 53072-1844

Mailing address

601 Ryan St
Suite F
Pewaukee, WI 53072-1844
Phone (262) 695-9698

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150819009134 WI Part B Supplier - Clinic/Group Practice 1254646219 Receives reassigned benefits from 1 practitioner
Practice locations: Pewaukee, WI

National Provider Directory

National Provider Directory

Locations

601 Ryan St
#F
Pewaukee, WI 53072
Phone (262) 695-9698

617 Ryan St
Ste 240
Pewaukee, WI 53072
Phone (262) 695-9698

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1439856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439856000000",
    "number": "1508232125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 RYAN ST",
            "address_2": "SUITE F",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530721844",
            "telephone_number": "262-695-9698",
            "fax_number": "262-695-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 RYAN ST",
            "address_2": "SUITE F",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530721844",
            "telephone_number": "262-695-9698",
            "fax_number": "262-695-0144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISING HEALTH CHIROPRACTIC WELLNESS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-18",
        "last_updated": "2015-08-18",
        "status": "A",
        "authorized_official_last_name": "HAUKE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/ PRESIDENT",
        "authorized_official_telephone_number": "262-695-9698",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WI",
            "license": "3975-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pewaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2015; 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.