Organization Active NPI

Hoisington Family Chiropractic, PA

  • Chiropractor
  • Faribault, MN
National Provider Identifier
1023209541
Registry record updated Nov 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4720 Issued in MN
Legal business name
HOISINGTON FAMILY CHIROPRACTIC, PA
Practice address
1033 1St St NE
Faribault, MN 55021-5407
Phone
(507) 332-8623
Fax
(507) 331-3122
NPI assigned
Aug 8, 2007
Last updated
Nov 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2012

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

Authorized official

Name
Jason Hoisington, DCNPI 1528147634
Title
DC
Phone
(507) 332-8623

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
Chiropractor 111N00000X 4720 MN Primary

Addresses

Primary practice location

1033 1St St NE
Faribault, MN 55021-5407

Mailing address

1033 1St St NE
Faribault, MN 55021-5407
Phone (507) 332-8623

Other identifiers 2

IdentifierTypeStateIssuer
318695400OtherMNMEDICAL ASSISTANCE
94G04HOOtherMNBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050922000252 MN Part B Supplier - Clinic/Group Practice 5597799296 Receives reassigned benefits from 1 practitioner
Practice locations: Faribault, MN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353369600000",
    "number": "1023209541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 1ST ST NE",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550215407",
            "telephone_number": "507-332-8623",
            "fax_number": "507-331-3122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 1ST ST NE",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550215407",
            "telephone_number": "507-332-8623",
            "fax_number": "507-331-3122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOISINGTON FAMILY CHIROPRACTIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-08",
        "last_updated": "2012-11-20",
        "status": "A",
        "authorized_official_last_name": "HOISINGTON",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "DC",
        "authorized_official_telephone_number": "507-332-8623",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSISTANCE",
            "identifier": "318695400",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "94G04HO",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Faribault, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; 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.