Individual provider Active NPI

Daniel Edward Hyatt, DC

  • Chiropractor
  • Oak Creek, WI
National Provider Identifier
1932272507
Registry record updated Nov 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2545-012 Issued in WI
Practice address
7003 S Howell Ave Ste 1300
Oak Creek, WI 53154-1402
Phone
(414) 856-1900
Fax
(414) 762-8765
NPI assigned
Nov 15, 2006
Last updated
Nov 28, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2545-012 WI Primary

Addresses

Primary practice location

7003 S Howell Ave Ste 1300
Oak Creek, WI 53154-1402

Mailing address

7003 S Howell Ave Ste 1300
Oak Creek, WI 53154-1402
Phone (414) 687-0908

Other identifiers 1

IdentifierTypeStateIssuer
38860400MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060119000151 WI Practitioner - Chiropractic 5193711497 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7003 S Howell Ave
Suite 1300
Oak Creek, WI 53154-1402

7003 S Howell Ave
Suite 1300
Oak Creek, WI 53154-1460
Phone (414) 856-1900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2545-012WIMDChiropractor
2545WIMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hyatt Chiropractic SC Chiropractor CurrentSince Mar 5, 2012 Accepting new patients
Gavric Chiropractic Clinic, LLC Chiropractor PastSince Jan 1, 2005 Accepting new patients

Locations

7003 S Howell Ave
Ste 1300
Oak Creek, WI 53154
Phone (414) 762-8626

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.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543363200000",
    "number": "1932272507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7003 S HOWELL AVE STE 1300",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531541402",
            "telephone_number": "414-687-0908",
            "fax_number": "414-856-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7003 S HOWELL AVE STE 1300",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531541402",
            "telephone_number": "414-856-1900",
            "fax_number": "414-762-8765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYATT",
        "first_name": "DANIEL",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2018-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2545-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38860400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Creek, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2018; 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.