Organization Active NPI

Hurst Chiropractic LLC

  • Health Service Clinic/Center
  • Jasper, IN
National Provider Identifier
1063116630
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
HURST CHIROPRACTIC LLC
Practice address
209 3Rd Ave
Jasper, IN 47546-3427
Phone
(812) 482-4269
NPI assigned
Mar 28, 2023
Last updated
Mar 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

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

Authorized official

Name
Caleb HurstNPI 1700580370
Title
President
Phone
(812) 482-4269

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
Health Service Clinic/Center 261QH0100X NU Primary

Addresses

Primary practice location

209 3Rd Ave
Jasper, IN 47546-3427

Mailing address

209 3Rd Ave
Jasper, IN 47546-3427

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230508002515 IN Part B Supplier - Clinic/Group Practice 8022473487 Receives reassigned benefits from 1 practitioner
Practice locations: Jasper, IN

National Provider Directory

National Provider Directory

Locations

209 3rd Ave
Jasper, IN 47546
Phone (812) 301-2088

Practitioners & affiliated clinicians

Practitioners 2

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": "1679961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679961600000",
    "number": "1063116630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 3RD AVE",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475463427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 3RD AVE",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475463427",
            "telephone_number": "812-482-4269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HURST CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-28",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A",
        "authorized_official_last_name": "HURST",
        "authorized_official_first_name": "CALEB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-482-4269"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; 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.