Active NPI
Robert Hawk, DC
- Chiropractor
- Boynton Beach, FL
National Provider Identifier
1063461424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH13009
- Practice address
- 3379 W Woolbright Rd
Boynton Beach, FL 33436-7245 - Phone
- (561) 356-7780
- NPI assigned
- May 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH13009 | FL | Primary |
Addresses
Primary practice location
3379 W Woolbright Rd
Boynton Beach, FL 33436-7245
Mailing address
3379 W Woolbright Rd
Boynton Beach, FL 33436-7245
Phone (561) 356-7780
Other practice location 1
115 S David Ln
Knoxville, TN 37922-3204
Phone (865) 769-9190
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
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH13009 | FL | MD | Chiropractor |
Interoperability endpoints
- https://api.platform.athenahealth.com/26482/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609286400000",
"number": "1063461424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3379 W WOOLBRIGHT RD",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334367245",
"telephone_number": "561-356-7780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3379 W WOOLBRIGHT RD",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334367245",
"telephone_number": "561-356-7780"
}
],
"practiceLocations": [
{
"address_1": "115 S David Ln",
"address_purpose": "LOCATION",
"city": "Knoxville",
"state": "TN",
"postal_code": "379223204",
"country_code": "US",
"telephone_number": "865-769-9190",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAWK",
"first_name": "ROBERT",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-10",
"last_updated": "2020-12-30",
"certification_date": "2020-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH13009",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boynton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.