RUBERT CHIROPRACTIC CLINIC, S.C.
NPI 1215003892
Chiropractor in Hustisford, WI

Active since November 27, 2006
139 N LAKE ST, HUSTISFORD, WI 53034(920) 349-3233(920) 349-3933 Get Directions Write a Review

NPPES record last updated: December 5, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Rubert Chiropractic Clinic, S.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RUBERT CHIROPRACTIC CLINIC, S.C. (NPI 1215003892) is a healthcare organization registered as a chiropractor in Hustisford, Wisconsin and active in the NPI registry since November 2006. The organization lists Paul David Rubert, Owner President, as its authorized official.

NPPES Registry Identity

NPI1215003892
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameRUBERT CHIROPRACTIC CLINIC, S.C.
Location Address139 N LAKE STHustisford, WI 53034
Mailing AddressPo Box 325Hustisford, WI 53034-0325 · (920) 349-3233 · Fax (920) 349-3933
Fax(920) 349-3933
Organization SubpartNo
Authorized OfficialPaul David RubertOwner President · (920) 349-3233
Enumeration DateNovember 27, 2006
Last NPPES UpdateDecember 5, 2007
✔ NPI 1215003892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WI · 3728012
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
139 N LAKE ST, Hustisford, WI 53034

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rubert Chiropractic Clinic, S.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Rubert Chiropractic Clinic, S.C., which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Chiropractic
NPI 1003257254
139 NORTH LAKE STREET
Hustisford, WI 53034
(920) 349-3233
0.1 mi
Chiropractic
NPI 1528129905
215 S WALES ST
Hustisford, WI 53034
(920) 349-3233
0.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rubert Chiropractic Clinic, S.C.'s NPI number?

The NPI number for Rubert Chiropractic Clinic, S.C. is 1215003892. It was assigned to this organization in the NPPES registry on November 27, 2006.

Where is Rubert Chiropractic Clinic, S.C. located?

Rubert Chiropractic Clinic, S.C. is located at 139 N Lake St, Hustisford, WI 53034. The listed phone number is (920) 349-3233.

What is Rubert Chiropractic Clinic, S.C.'s specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Rubert Chiropractic Clinic, S.C. enrolled in Medicare?

Yes. Rubert Chiropractic Clinic, S.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Rubert Chiropractic Clinic, S.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Rubert Chiropractic Clinic, S.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Rubert Chiropractic Clinic, S.C. was last updated on December 5, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.