Active NPI
Shane M Huber, D.C., A.T.C.
- Chiropractor
- Brookfield, WI
National Provider Identifier
1841353588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4260-012
- Practice address
- 19035 W Capitol Dr Ste 100
Brookfield, WI 53045 - Phone
- (262) 695-6744
- Fax
- (262) 695-6466
- NPI assigned
- Dec 17, 2006
- Last updated
- Aug 27, 2018
- 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 | 4260-012 | WI | Primary |
Addresses
Primary practice location
19035 W Capitol Dr Ste 100
Brookfield, WI 53045
Mailing address
19035 W Capitol Dr Ste 100
Brookfield, WI 53045-2755
Phone (262) 695-6744
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4260-012 | WI | MD | Chiropractor |
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.
-
- Clinic/Center
- Brookfield, WI
- NPI 1376689414
-
- Medical Specialty Clinic/Center
- Brookfield, WI
- NPI 1578853990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535328000000",
"number": "1841353588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19035 W CAPITOL DR STE 100",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530452755",
"telephone_number": "262-695-6744",
"fax_number": "262-695-6466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19035 W CAPITOL DR STE 100",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "53045",
"telephone_number": "262-695-6744",
"fax_number": "262-695-6466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUBER",
"first_name": "SHANE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "D.C., A.T.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-17",
"last_updated": "2018-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "4260-012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brookfield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.