NPIMap

Organization Active NPI

Hartland Family Chiropractic, LLC

  • Chiropractor
  • Hartland, WI
National Provider Identifier
1689914673
Registry record updated May 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4437-12 Issued in WI
Legal business name
HARTLAND FAMILY CHIROPRACTIC, LLC
Practice address
365 Cottonwood Ave
Suite a
Hartland, WI 53029-2048
Phone
(262) 367-7424
Fax
(262) 369-1068
NPI assigned
Feb 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2013

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

Authorized official

Name
Dr. Hans J Halaska, DCNPI 1942458401
Title
Chiropractor
Phone
(262) 367-7424

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 4437-12 WI Primary

Addresses

Primary practice location

365 Cottonwood Ave
Suite a
Hartland, WI 53029-2048

Mailing address

365 Cottonwood Ave
Suite a
Hartland, WI 53029-2048
Phone (262) 367-7424

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130502000127 WI Part B Supplier - Clinic/Group Practice 8628215035 Receives reassigned benefits from 3 practitioners
Practice locations: Hartland, WI

National Provider Directory

National Provider Directory

Locations

365 Cottonwood Ave
#A
Hartland, WI 53029
Phone (262) 367-7424

365 Cottonwood Ave
Ste A
Hartland, WI 53029
Phone (262) 367-7424

Practitioners & affiliated clinicians

Practitioners 3

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": "1361923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367452800000",
    "number": "1689914673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 COTTONWOOD AVE",
            "address_2": "SUITE A",
            "city": "HARTLAND",
            "state": "WI",
            "postal_code": "530292048",
            "telephone_number": "262-367-7424",
            "fax_number": "262-369-1068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 COTTONWOOD AVE",
            "address_2": "SUITE A",
            "city": "HARTLAND",
            "state": "WI",
            "postal_code": "530292048",
            "telephone_number": "262-367-7424",
            "fax_number": "262-369-1068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARTLAND FAMILY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-27",
        "last_updated": "2013-05-02",
        "status": "A",
        "authorized_official_last_name": "HALASKA",
        "authorized_official_first_name": "HANS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "262-367-7424",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4437-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartland, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2013; 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.