Active NPI
Hartman Chiropractic & Rehabilitation, Inc,
- Chiropractor
- Oostburg, WI
National Provider Identifier
1972875276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3503-12
- Legal business name
- HARTMAN CHIROPRACTIC & REHABILITATION, INC,
- Practice address
- 1205 Wisconsin Ave
Oostburg, WI 53070-1104 - Phone
- (920) 564-6672
- Fax
- (920) 564-6673
- NPI assigned
- Feb 1, 2012
- Last updated
- Feb 1, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Eric James Hartman, D.C.
- Title
- Owner
- Phone
- (920) 564-6672
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3503-12 | WI | Primary |
Addresses
Primary practice location
1205 Wisconsin Ave
Oostburg, WI 53070-1104
Mailing address
1205 Wisconsin Ave
Oostburg, WI 53070-1104
Phone (920) 564-6672
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38909000 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Oostburg, WI
- NPI 1457496648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328054400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1328054400000",
"number": "1972875276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1205 WISCONSIN AVE",
"city": "OOSTBURG",
"state": "WI",
"postal_code": "530701104",
"telephone_number": "920-564-6672",
"fax_number": "920-564-6673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1205 WISCONSIN AVE",
"city": "OOSTBURG",
"state": "WI",
"postal_code": "530701104",
"telephone_number": "920-564-6672",
"fax_number": "920-564-6673"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HARTMAN CHIROPRACTIC & REHABILITATION, INC,",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-01",
"last_updated": "2012-02-01",
"status": "A",
"authorized_official_last_name": "HARTMAN",
"authorized_official_first_name": "ERIC",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "920-564-6672",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "3503-12",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38909000",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oostburg, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.