Individual provider Active NPI

Hans J Halaska, D.C.

  • Chiropractor
  • Hartland, WI
National Provider Identifier
1942458401
Registry record updated Aug 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4437-012 Issued in WI
Practice address
211 Cottonwood Ave
Hartland, WI 53029-2016
Phone
(262) 367-7424
Fax
(262) 369-1068
NPI assigned
Sep 8, 2008
Last updated
Aug 20, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4437-12 WI
Chiropractor 111N00000X 4437-012 WI Primary

Addresses

Primary practice location

211 Cottonwood Ave
Hartland, WI 53029-2016

Mailing address

211 Cottonwood Ave
Hartland, WI 53029-2016
Phone (262) 367-7424

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090511000254 WI Practitioner - Chiropractic 4082762513 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hartland Family Chiropractic LLCGroup PAC ID 8628215035, 2 clinicians

Practice addresses (Care Compare)

211 Cottonwood Ave
Hartland, WI 53029-2016
Phone (262) 367-7424

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4437-012WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Hartland Family Chiropractic, LLC Chiropractor CurrentSince Feb 25, 2013 Accepting new patients
Foti Chiropractic LLC Chiropractor PastSince Aug 22, 2014 Accepting new patients

Locations

211 Cottonwood Ave
Hartland, WI 53029
Phone (262) 367-6610

365 Cottonwood Ave
Ste A
Hartland, WI 53029
Phone (262) 367-7424

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": "1220832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629417600000",
    "number": "1942458401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 COTTONWOOD AVE",
            "city": "HARTLAND",
            "state": "WI",
            "postal_code": "530292016",
            "telephone_number": "262-367-7424",
            "fax_number": "262-369-1068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 COTTONWOOD AVE",
            "city": "HARTLAND",
            "state": "WI",
            "postal_code": "530292016",
            "telephone_number": "262-367-7424",
            "fax_number": "262-369-1068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALASKA",
        "first_name": "HANS",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-08",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4437-12",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4437-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartland, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; 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.