Individual provider Active NPI

Alisa Diana Hoffman, D.C.

  • Chiropractor
  • Lansing, MI
National Provider Identifier
1093011355
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009895 Issued in MI
Practice address
3400 Pinetree Rd Ste 101
Lansing, MI 48911-4286
Phone
(517) 574-4291
NPI assigned
Feb 3, 2011
Last updated
Aug 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301009895 MI Primary

Addresses

Primary practice location

3400 Pinetree Rd Ste 101
Lansing, MI 48911-4286

Mailing address

3400 Pinetree Rd Ste 101
Lansing, MI 48911-4286
Phone (517) 574-4291

Other practice location 1

2705 Maritime Dr
Lansing, MI 48911-6190
Phone (517) 449-2888

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120215000438 MI Practitioner - Chiropractic 8820256290 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301009895MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Professional Center, PLLC Chiropractor CurrentSince May 1, 2012 Accepting new patients
Chiro-Technology PC Chiropractor Past Accepting new patients
Nathan J. Dunham, D.C., P.L.L.C. Chiropractor PastSince May 1, 2012 Accepting new patients

Locations

3400 Pinetree Rd
Ste 101
Lansing, MI 48911
Phone (517) 574-4291

Organizations & group practices 3

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": "1296691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1093011355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 PINETREE RD STE 101",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489114286",
            "telephone_number": "517-574-4291",
            "fax_number": "517-574-4725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 PINETREE RD STE 101",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489114286",
            "telephone_number": "517-574-4291"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2705 Maritime Dr",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489116190",
            "country_code": "US",
            "telephone_number": "517-449-2888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "ALISA",
        "middle_name": "DIANA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-03",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; 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.