Individual provider Active NPI

Tom Bert Hoogestraat, D.C.

  • Chiropractor
  • Parkersburg, IA
National Provider Identifier
1023173648
Registry record updated Jan 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
04276 Issued in IA
Practice address
238 3Rd. St.
Parkersburg, IA 50665-0237
Phone
(319) 346-2812
Fax
(319) 346-1008
NPI assigned
Dec 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 04276 IA Primary

Addresses

Primary practice location

238 3Rd. St.
Parkersburg, IA 50665-0237

Mailing address

238 Third St.
P.O. Box 237
Parkersburg, IA 50665-0237
Phone (319) 346-2812

Other identifiers 1

IdentifierTypeStateIssuer
0011684MedicaidIA

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
04276IAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
University Chiropractic, P.C. Chiropractor PastSince Apr 30, 2003 Accepting new patients

Organizations & group practices 1

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": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294012800000",
    "number": "1023173648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 THIRD ST.",
            "address_2": "P.O. BOX 237",
            "city": "PARKERSBURG",
            "state": "IA",
            "postal_code": "506650237",
            "telephone_number": "319-346-2812",
            "fax_number": "319-346-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 3RD. ST.",
            "city": "PARKERSBURG",
            "state": "IA",
            "postal_code": "506650237",
            "telephone_number": "319-346-2812",
            "fax_number": "319-346-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOGESTRAAT",
        "first_name": "TOM",
        "middle_name": "BERT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-26",
        "last_updated": "2011-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "04276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011684",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkersburg, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2011; 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.