Individual provider Active NPI

Russell R Hauser, D.C.

  • Chiropractor
  • Menomonee Falls, WI
National Provider Identifier
1891809422
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2171 Issued in WI
Practice address
N80W14942 Appleton Ave
Menomonee Falls, WI 53051-3868
Phone
(262) 253-0200
Fax
(262) 255-7986
NPI assigned
Aug 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2171 WI Primary

Addresses

Primary practice location

N80W14942 Appleton Ave
Menomonee Falls, WI 53051-3868

Mailing address

N80W14942 Appleton Ave
Menomonee Falls, WI 53051-3868
Phone (262) 253-0200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041213000395 WI Practitioner - Chiropractic 8628035516 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

N68W28550 Sussex Rd
Suite B
Hartland, WI 53029-9600
Phone (262) 538-1628

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2171WIMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Falls Chiropractic Group SC Chiropractor CurrentSince Jun 1, 2000 Accepting new patients
Russell R Hauser DC LLC Chiropractor CurrentSince Nov 15, 2004 Accepting new patients

Locations

N68W28550 Sussex Rd
Ste B
Hartland, WI 53029
Phone (262) 538-1628

N80W14942 Appleton Ave
Menomonee Fls, WI 53051
Phone (262) 253-0200

N79W14700 Appleton Ave
Menomonee Fls, WI 53051
Phone (262) 253-0200

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891809422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N80W14942 APPLETON AVE",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530513868",
            "telephone_number": "262-253-0200",
            "fax_number": "262-255-7986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N80W14942 APPLETON AVE",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530513868",
            "telephone_number": "262-253-0200",
            "fax_number": "262-255-7986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUSER",
        "first_name": "RUSSELL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menomonee Falls, 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.

Verify at the official NPI Registry.