Organization Active NPI

Haak Chiropractic, Inc.

  • Chiropractor
  • Lomira, WI
National Provider Identifier
1548389679
Registry record updated Jan 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3410-012 Issued in WI
Legal business name
HAAK CHIROPRACTIC, INC.
Practice address
677 S. Water St.
Lomira, WI 53048
Phone
(920) 269-7705
NPI assigned
Mar 28, 2007
Last updated
Jan 18, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2012

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

Authorized official

Name
Dr. Joseph Haak, D.C., B.S.NPI 1083750459
Title
President
Phone
(920) 269-7705

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3410-012 WI Primary

Addresses

Primary practice location

677 S. Water St.
Lomira, WI 53048

Mailing address

677 S. Water St.
P.O. Box 142
Lomira, WI 53048
Phone (920) 269-7705

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120118000755 WI Part B Supplier - Clinic/Group Practice 6507033362 Receives reassigned benefits from 1 practitioner
Practice locations: Lomira, WI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326844800000",
    "number": "1548389679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "677 S. WATER ST.",
            "address_2": "P.O. BOX 142",
            "city": "LOMIRA",
            "state": "WI",
            "postal_code": "53048",
            "telephone_number": "920-269-7705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 S. WATER ST.",
            "city": "LOMIRA",
            "state": "WI",
            "postal_code": "53048",
            "telephone_number": "920-269-7705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAAK CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2012-01-18",
        "status": "A",
        "authorized_official_last_name": "HAAK",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-269-7705",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., B.S."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3410-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lomira, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2012; 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.