Individual provider Active NPI

Kendrik Hoffenbacker

  • Chiropractor
  • Kalispell, MT
National Provider Identifier
1013462753
Registry record updated Aug 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
81-0540636 Issued in MT
Practice address
690 N Meridian Rd
Suite 214
Kalispell, MT 59901-3586
Phone
(406) 755-6030
NPI assigned
Aug 23, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 81-0540636 MT Primary

Addresses

Primary practice location

690 N Meridian Rd
Suite 214
Kalispell, MT 59901-3586

Mailing address

690 N Meridian Rd
Suite 214
Kalispell, MT 59901-3586
Phone (406) 755-6030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
81-0540636MTMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1471910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471910400000",
    "number": "1013462753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 N MERIDIAN RD",
            "address_2": "SUITE 214",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013586",
            "telephone_number": "406-755-6030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 N MERIDIAN RD",
            "address_2": "SUITE 214",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013586",
            "telephone_number": "406-755-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFENBACKER",
        "first_name": "KENDRIK",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-23",
        "last_updated": "2016-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MT",
            "license": "81-0540636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalispell, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.