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Organization Active NPI

Chiropractic Care Center of Hartland

  • Chiropractor
  • Hartland, WI
National Provider Identifier
1700102894
Registry record updated Apr 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3258 Issued in WI
Legal business name
CHIROPRACTIC CARE CENTER OF HARTLAND
Practice address
864 Rose Dr
Hartland, WI 53029-8317
Phone
(262) 367-4523
Fax
(262) 367-4657
NPI assigned
Apr 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2010

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

Authorized official

Name
Michelle L Draggoo
Title
Owner
Phone
(262) 367-4523

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3258 WI Primary

Addresses

Primary practice location

864 Rose Dr
Hartland, WI 53029-8317

Mailing address

PO Box 510444
New Berlin, WI 53151-0444
Phone (262) 785-1811

Other identifiers 1

IdentifierTypeStateIssuer
38921800MedicaidWI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1271203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271203200000",
    "number": "1700102894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 510444",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531510444",
            "telephone_number": "262-785-1811",
            "fax_number": "262-785-9887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "864 ROSE DR",
            "city": "HARTLAND",
            "state": "WI",
            "postal_code": "530298317",
            "telephone_number": "262-367-4523",
            "fax_number": "262-367-4657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC CARE CENTER OF HARTLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-14",
        "last_updated": "2010-04-14",
        "status": "A",
        "authorized_official_last_name": "DRAGGOO",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-367-4523"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38921800",
            "state": "WI"
        }
    ],
    "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 Apr 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.