Organization Active NPI

Haase Chiropractic Care Inc

  • Chiropractor
  • Madison, WI
National Provider Identifier
1750582185
Registry record updated Oct 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1647 Issued in WI
Legal business name
HAASE CHIROPRACTIC CARE INC
Practice address
4200 University Ave
2100
Madison, WI 53705-2100
Phone
(608) 231-3900
Fax
(608) 231-6800
NPI assigned
May 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2012

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

Authorized official

Name
Dr. John M Haase, D.C.
Title
Owner
Phone
(608) 231-3900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1647 WI Primary

Addresses

Primary practice location

4200 University Ave
2100
Madison, WI 53705-2100

Mailing address

4200 University Ave
2100
Madison, WI 53705-2100
Phone (608) 231-3900

Other identifiers 2

IdentifierTypeStateIssuer
38767600MedicaidWI
412173481012OtherWIBLUECROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

6225 University Ave
Ste 114
Madison, WI 53705
Phone (608) 444-0817

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350950400000",
    "number": "1750582185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 UNIVERSITY AVE",
            "address_2": "2100",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537052100",
            "telephone_number": "608-231-3900",
            "fax_number": "608-231-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 UNIVERSITY AVE",
            "address_2": "2100",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537052100",
            "telephone_number": "608-231-3900",
            "fax_number": "608-231-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAASE CHIROPRACTIC CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2012-10-23",
        "status": "A",
        "authorized_official_last_name": "HAASE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-231-3900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "1647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38767600",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUE SHIELD",
            "identifier": "412173481012",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2012; 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.