Active NPI
George Jospeh Hanacik Jr., DC
- Chiropractor
- Waukesha, WI
National Provider Identifier
1548314214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1724012
- Practice address
- 1569 Racine Ave
Waukesha, WI 53186 - Phone
- (262) 547-2321
- Fax
- (262) 547-7112
- NPI assigned
- Jan 22, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1724012 | WI | Primary |
| Chiropractor | 111N00000X | IL |
Addresses
Primary practice location
1569 Racine Ave
Waukesha, WI 53186
Mailing address
1569 Racine Ave
Waukesha, WI 53186
Phone (262) 547-2321
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091019000564 | WI | Practitioner - Chiropractic | 4789721093 | Practice locations: Waukesha, WI |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1569 E Racine Ave
Waukesha, WI 53186-6826
Phone (262) 547-2321
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038004611 | IL | MD | Chiropractor |
| 1724012 | WI | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1548314214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1569 RACINE AVE",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "53186",
"telephone_number": "262-547-2321",
"fax_number": "262-547-7112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1569 RACINE AVE",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "53186",
"telephone_number": "262-547-2321",
"fax_number": "262-547-7112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANACIK",
"first_name": "GEORGE",
"middle_name": "JOSPEH",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "1724012",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waukesha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.