Organization Active NPI

Elkhorn Chiropractic Inc

  • Chiropractor
  • Baker City, OR
National Provider Identifier
1003072042
Registry record updated Jul 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3843 Issued in OR
Legal business name
ELKHORN CHIROPRACTIC INC
Practice address
2040 8TH St
Baker City, OR 97814-3326
Phone
(541) 523-2495
Fax
(541) 523-2495
NPI assigned
Jul 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2008

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

Authorized official

Name
Dr. Jarom Todd Hibbert, D.C.NPI 1144201955
Title
Owner
Phone
(541) 523-2495

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3843 OR Primary

Addresses

Primary practice location

2040 8TH St
Baker City, OR 97814-3326

Mailing address

2040 8TH St
Baker City, OR 97814-3326
Phone (541) 523-2495

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080804000189 OR Part B Supplier - Clinic/Group Practice 8426122839 Receives reassigned benefits from 1 practitioner
Practice locations: Baker City, OR

National Provider Directory

National Provider Directory

Locations

2805 10th St
Baker City, OR 97814
Phone (541) 523-2495

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1217376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1003072042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 8TH ST",
            "city": "BAKER CITY",
            "state": "OR",
            "postal_code": "978143326",
            "telephone_number": "541-523-2495",
            "fax_number": "541-523-2495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 8TH ST",
            "city": "BAKER CITY",
            "state": "OR",
            "postal_code": "978143326",
            "telephone_number": "541-523-2495",
            "fax_number": "541-523-2495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELKHORN CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-30",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "HIBBERT",
        "authorized_official_first_name": "JAROM",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-523-2495",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baker City, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; 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.

Verify at the official NPI Registry.