Active NPI
Randall J Hammett, DC
- Chiropractor
- Kenosha, WI
National Provider Identifier
1861485690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1546
- Practice address
- 6500 67TH St
Kenosha, WI 53142-1403 - Phone
- (262) 654-3141
- Fax
- (262) 654-9133
- NPI assigned
- Aug 26, 2005
- 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 | 1546 | WI | Primary |
Addresses
Primary practice location
6500 67TH St
Kenosha, WI 53142-1403
Mailing address
6500 67TH St
Kenosha, WI 53142-1403
Phone (262) 654-3141
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121108000068 | WI | Practitioner - Chiropractic | 3870744493 | Practice locations: Kenosha, WI |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
6500 67TH St
Kenosha, WI 53142-1403
Phone (262) 654-3141
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1546 | WI | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861485690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6500 67TH ST",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531421403",
"telephone_number": "262-654-3141",
"fax_number": "262-654-9133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6500 67TH ST",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531421403",
"telephone_number": "262-654-3141",
"fax_number": "262-654-9133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMMETT",
"first_name": "RANDALL",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "1546",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kenosha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.