NPIMap

Organization Active NPI

Hurst Chiropractic

  • Chiropractor
  • Moline, IL
National Provider Identifier
1083912190
Registry record updated Mar 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0038004345 Issued in IL
Legal business name
HURST CHIROPRACTIC
Practice address
4820 22ND Ave
Moline, IL 61265-3675
Phone
(309) 762-2273
Fax
(309) 762-8867
NPI assigned
Mar 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2011

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

Authorized official

Name
Dr. Michael H Hurst, DCNPI 1538187513
Title
Owner
Phone
(309) 762-8803

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 0038004345 IL Primary

Addresses

Primary practice location

4820 22ND Ave
Moline, IL 61265-3675

Mailing address

4820 22ND Ave
Moline, IL 61265-3675
Phone (309) 762-2273

Other identifiers 1

IdentifierTypeStateIssuer
0038004345MedicaidIL

National Provider Directory

National Provider Directory
Tax ID family
Hurst Chiropractic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4820 22nd Ave
Moline, IL 61265
Phone (309) 762-2273

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1300060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300060800000",
    "number": "1083912190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4820 22ND AVE",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612653675",
            "telephone_number": "309-762-2273",
            "fax_number": "309-762-8867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4820 22ND AVE",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612653675",
            "telephone_number": "309-762-2273",
            "fax_number": "309-762-8867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HURST CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-14",
        "last_updated": "2011-03-14",
        "status": "A",
        "authorized_official_last_name": "HURST",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-762-8803",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "0038004345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0038004345",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moline, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.