Organization Active NPI

Hinderks Chiropractic, P.a.

  • Chiropractor
  • Renville, MN
National Provider Identifier
1073940771
Registry record updated Jan 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5098 Issued in MN
Legal business name
HINDERKS CHIROPRACTIC, P.A.
Practice address
317 N Main St.
Renville, MN 56284
Phone
(320) 329-8185
Fax
(320) 329-8186
NPI assigned
Sep 26, 2013
Last updated
Jan 14, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2014

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

Authorized official

Name
Jeremy S. Hinderks, D.C.NPI 1194998849
Title
Owner
Phone
(320) 329-8185

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 5098 MN Primary

Addresses

Primary practice location

317 N Main St.
Renville, MN 56284

Mailing address

PO Box 459
Renville, MN 56284-0459
Phone (320) 329-8185

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140114000223 MN Part B Supplier - Clinic/Group Practice 4486882701 Receives reassigned benefits from 2 practitioners
Practice locations: Renville, MN; Willmar, MN

National Provider Directory

National Provider Directory

Locations

2630 1st St S
Ste 103
Willmar, MN 56201
Phone (320) 235-7347

Practitioners & affiliated clinicians

Practitioners 3

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": "1380153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389657600000",
    "number": "1073940771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 459",
            "city": "RENVILLE",
            "state": "MN",
            "postal_code": "562840459",
            "telephone_number": "320-329-8185",
            "fax_number": "320-329-8186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 N MAIN ST.",
            "city": "RENVILLE",
            "state": "MN",
            "postal_code": "56284",
            "telephone_number": "320-329-8185",
            "fax_number": "320-329-8186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HINDERKS CHIROPRACTIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-26",
        "last_updated": "2014-01-14",
        "status": "A",
        "authorized_official_last_name": "HINDERKS",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "320-329-8185",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Renville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; 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.