Individual provider Active NPI

Dan P Killian, D.C.

  • Chiropractor
  • Waukesha, WI
National Provider Identifier
1700885118
Registry record updated Jul 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3092 Issued in WI
Practice address
1720 Dolphin CT
Suite E
Waukesha, WI 53186-1429
Phone
(262) 547-7441
Fax
(262) 547-1971
NPI assigned
Jul 18, 2005
Last updated
Jul 12, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3092 WI Primary

Addresses

Primary practice location

1720 Dolphin CT
Suite E
Waukesha, WI 53186-1429

Mailing address

1720 Dolphin CT
Suite E
Waukesha, WI 53186-1429
Phone (262) 547-7441

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101015001041 WI Practitioner - Chiropractic 3274436456 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1720 Dolphin Dr
Suite E
Waukesha, WI 53186-1489
Phone (262) 547-7441

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3092WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Partners, S.C. Chiropractor CurrentSince Oct 1, 1997 Accepting new patients
Hetz Management, S.C. Chiropractor Past Accepting new patients

Locations

1720 Dolphin Dr
Ste E
Waukesha, WI 53186
Phone (262) 547-7441

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278892800000",
    "number": "1700885118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 DOLPHIN CT",
            "address_2": "SUITE E",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531861429",
            "telephone_number": "262-547-7441",
            "fax_number": "262-547-1971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 DOLPHIN CT",
            "address_2": "SUITE E",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531861429",
            "telephone_number": "262-547-7441",
            "fax_number": "262-547-1971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILLIAN",
        "first_name": "DAN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2010-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3092",
            "primary": true
        }
    ],
    "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 12, 2010; 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.