Individual provider Active NPI

Andrew Paul Hosenfeld, DC

  • Chiropractor
  • Knoxville, TN
National Provider Identifier
1023050424
Registry record updated Nov 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC0718 Issued in TN
Practice address
4307 Ball Camp Pike
Knoxville, TN 37921-3313
Phone
(865) 524-1234
Fax
(865) 524-2169
NPI assigned
Jun 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC0718 TN Primary

Addresses

Primary practice location

4307 Ball Camp Pike
Knoxville, TN 37921-3313

Mailing address

4307 Ball Camp Pike
Knoxville, TN 37921-3313
Phone (865) 524-1234

Other identifiers 1

IdentifierTypeStateIssuer
000021935OtherTNBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111026000302 TN Practitioner - Chiropractic 2567545080 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apple Healthcare Group PCGroup PAC ID 6103907605, 13 clinicians

Practice addresses (Care Compare)

4307 Ball Camp Pike
Knoxville, TN 37921-3313
Phone (865) 524-1234

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC0718TNMDChiropractor

Practice roles (2 of 5)

OrganizationSpecialtyStatusNew patients
Apple Healthcare Group, PC Chiropractor CurrentSince Jan 1, 1992 Accepting new patients
Apple Healthcare Group CurrentSince Jan 1, 1992 Accepting new patients

Locations

312 Prosperity Dr
Ste 101
Knoxville, TN 37923
Phone (865) 524-1234

4307 Ball Camp Pike
Knoxville, TN 37921
Phone (865) 524-1234

Networks

  • MS PPO
  • MS PPO D-SNP
  • MS PPO C-SNP

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194825600000",
    "number": "1023050424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4307 BALL CAMP PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379213313",
            "telephone_number": "865-524-1234",
            "fax_number": "865-524-2169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4307 BALL CAMP PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379213313",
            "telephone_number": "865-524-1234",
            "fax_number": "865-524-2169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOSENFELD",
        "first_name": "ANDREW",
        "middle_name": "PAUL",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-11",
        "last_updated": "2007-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "DC0718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000021935",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.