Individual provider Active NPI

Jeff M Hock, D.C

  • Chiropractor
  • Rapid City, SD
National Provider Identifier
1073695656
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
949 Issued in SD
Practice address
1122 Jackson Blvd
Rapid City, SD 57702-4335
Phone
(605) 388-0406
Fax
(605) 718-1211
NPI assigned
Oct 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 949 SD Primary

Addresses

Primary practice location

1122 Jackson Blvd
Rapid City, SD 57702-4335

Mailing address

1122 Jackson Blvd
Rapid City, SD 57702-4335
Phone (605) 388-0406

Other identifiers 1

IdentifierTypeStateIssuer
7601152MedicaidSD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100928000658 SD Practitioner - Chiropractic 6002816428 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1122 Jackson Blvd
Rapid City, SD 57702-4335
Phone (605) 390-8981

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Health Clinics USA Corp Current Accepting new patients
Advanced Chiropractic PC Chiropractor CurrentSince May 1, 2002 Accepting new patients

Locations

1122 Jackson Blvd
Rapid City, SD 57702
Phone (605) 388-0406

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073695656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 JACKSON BLVD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577024335",
            "telephone_number": "605-388-0406",
            "fax_number": "605-718-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 JACKSON BLVD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577024335",
            "telephone_number": "605-388-0406",
            "fax_number": "605-718-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOCK",
        "first_name": "JEFF",
        "middle_name": "M",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7601152",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.