LICKTEIG CHIROPRACTIC CLINIC,S.C.
NPI 1336269661
Chiropractor in Mequon, WI

Active since March 30, 2007
11649 N PORT WASHINGTON RD, SUITE 100, MEQUON, WI 53092(262) 240-2273(262) 240-2260 Get Directions Write a Review

NPPES record last updated: June 12, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lickteig Chiropractic Clinic,s.c. NPPES

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

LICKTEIG CHIROPRACTIC CLINIC,S.C. (NPI 1336269661) is a healthcare organization registered as a chiropractor in Mequon, Wisconsin and active in the NPI registry since March 2007. The organization lists Karl Albert Lickteig, Owner, as its authorized official.

NPPES Registry Identity

NPI1336269661
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameLICKTEIG CHIROPRACTIC CLINIC,S.C.
Location Address11649 N PORT WASHINGTON RD, SUITE 100Mequon, WI 53092-3460
Mailing Address11649 N Port Washington Rd, Suite 100Mequon, WI 53092-3460 · (262) 240-2273 · Fax (262) 240-2260
Fax(262) 240-2260
Organization SubpartNo
Authorized OfficialKarl Albert LickteigOwner · (262) 240-2273
Enumeration DateMarch 30, 2007
Last NPPES UpdateJune 12, 2013
✔ NPI 1336269661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WI · 2451-012
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.
11649 N PORT WASHINGTON RD, Mequon, WI 53092

Other Identifiers 3

Medicaid38854100WI
Medicare UPINT88217WI
Medicare ID-Type Unspecified000135759WI

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 MULTIPLE 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)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Lickteig Chiropractic Clinic,s.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1932229226
11649 N PORT WASHINGTON RD SUITE 100
Mequon, WI 53092
(262) 240-2273
✔ Accepts MedicareSame address

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 Lickteig Chiropractic Clinic,s.C.'s NPI number?

The NPI number for Lickteig Chiropractic Clinic,s.C. is 1336269661. It was assigned to this organization in the NPPES registry on March 30, 2007.

Where is Lickteig Chiropractic Clinic,s.C. located?

Lickteig Chiropractic Clinic,s.C. is located at 11649 N Port Washington Rd Suite 100, Mequon, WI 53092. The listed phone number is (262) 240-2273.

What is Lickteig Chiropractic Clinic,s.C.'s specialty?

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

Is Lickteig Chiropractic Clinic,s.C. enrolled in Medicare?

Yes. Lickteig Chiropractic Clinic,s.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lickteig Chiropractic Clinic,s.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Lickteig 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Lickteig Chiropractic Clinic,s.C. was last updated on June 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.