Active NPI
Dan P Killian, D.C.
- Chiropractor
- Waukesha, WI
National Provider Identifier
1700885118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3092
- 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, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3092 | WI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiropractic Partners, S.C. | Chiropractor | Current | 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.
-
- Chiropractor
- Waukesha, WI
- NPI 1871713289
-
- Chiropractor
- Waukesha, WI
- NPI 1497989073
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.