Paul M Harris, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4066 Issued in WI

Practice address

580 Redbird Cir
De Pere, WI 54115-8785

Phone

(920) 632-4699

Fax

(920) 632-4704

NPI assigned

Aug 12, 2006

Last updated

May 30, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Harris Chiropractic

  • Chiropractor
  • De Pere, WI
  • NPI 1548322571
  Authorized official Same address or phone

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559174400000",
    "number": "1659383529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 REDBIRD CIR",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541158785",
            "telephone_number": "920-632-4699",
            "fax_number": "920-632-4704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 REDBIRD CIR",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541158785",
            "telephone_number": "920-632-4699",
            "fax_number": "920-632-4704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "PAUL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2019-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38956100",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WI BC/BS PIN",
            "identifier": "201617580012",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Handler, OTR
• Gage Hannot, DPT
• Steven P Hansen, D.C.
• Tim Gilbert Harder, MD
• Harris Chiropractic
• Tess Harris
• Christen Hathaway, LMFT-IT
• Jaceson L. Hauser, DC
• Ryan Havlovitz, PT
• Kristel Lyn Hawley, LPC

• Chiropractor in De Pere, WI
• Providers in De Pere, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2019; 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.