Individual provider Active NPI

Joseph G Hines, DC

  • Chiropractor
  • Rogers, AR
National Provider Identifier
1063470334
Registry record updated Sep 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1095 Issued in AR
Practice address
205 N 24TH St
Rogers, AR 72756-3294
Phone
(479) 636-4021
Fax
(479) 636-4023
NPI assigned
May 3, 2006
Last updated
Sep 26, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1095 AR Primary

Addresses

Primary practice location

205 N 24TH St
Rogers, AR 72756-3294

Mailing address

205 N 24TH St
Rogers, AR 72756-3294
Phone (479) 636-4021

Other identifiers 1

IdentifierTypeStateIssuer
59002OtherARCHIROPRACTOR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060707000216 AR Practitioner - Chiropractic 7214949486 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

305 N 24TH St
Rogers, AR 72756-3295
Phone (479) 636-4021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1095ARMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Joe Hines Chiropractic, Inc. Chiropractor CurrentSince Apr 1, 2006 Accepting new patients
Jerry F. Hines D.C. Inc Chiropractor CurrentSince Apr 29, 2019 Accepting new patients

Locations

305 N 24th St
Rogers, AR 72756
Phone (479) 636-3021

205 N 24th St
Rogers, AR 72756
Phone (479) 636-4021

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380153600000",
    "number": "1063470334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 N 24TH ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727563294",
            "telephone_number": "479-636-4021",
            "fax_number": "479-636-4023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 N 24TH ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727563294",
            "telephone_number": "479-636-4021",
            "fax_number": "479-636-4023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINES",
        "first_name": "JOSEPH",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2013-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "1095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTOR",
            "identifier": "59002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; 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.