NPIMap

Organization Active NPI

Heffernan Chiropractic Clinic SC

  • Chiropractor
  • Waukesha, WI
National Provider Identifier
1720120868
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1326-012 Issued in WI
Legal business name
HEFFERNAN CHIROPRACTIC CLINIC SC
Practice address
1800 E Main St Ste 300
Waukesha, WI 53186-3984
Phone
(262) 549-4555
Fax
(262) 549-9750
NPI assigned
Feb 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Authorized official

Name
Joseph Peter HeffernanNPI 1801991922
Title
President
Phone
(262) 549-4555

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 1326-012 WI Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 3874-012 WI

Addresses

Primary practice location

1800 E Main St Ste 300
Waukesha, WI 53186-3984

Mailing address

1800 E Main St Ste 300
Waukesha, WI 53186-3984
Phone (262) 549-4555

Other identifiers 2

IdentifierTypeStateIssuer
38828400MedicaidWI
38181900MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080317000467 WI Part B Supplier - Clinic/Group Practice 1658456504 Receives reassigned benefits from 3 practitioners
Practice locations: Waukesha, WI

National Provider Directory

National Provider Directory

Locations

1820 E Main St
Waukesha, WI 53186
Phone (262) 549-4555

1800 E Main St
Ste 300
Waukesha, WI 53186
Phone (262) 549-4555

Practitioners & affiliated clinicians

Practitioners 8

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": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745798400000",
    "number": "1720120868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 E MAIN ST STE 300",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531863984",
            "telephone_number": "262-549-4555",
            "fax_number": "262-549-9750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 E MAIN ST STE 300",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531863984",
            "telephone_number": "262-549-4555",
            "fax_number": "262-549-9750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEFFERNAN CHIROPRACTIC CLINIC SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A",
        "authorized_official_last_name": "HEFFERNAN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-549-4555"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "1326-012",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3874-012",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38828400",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38181900",
            "state": "WI"
        }
    ],
    "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 Apr 28, 2025; 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.