Individual provider Active NPI

James A Hamtak, DC

  • Chiropractor
  • Carson City, NV
National Provider Identifier
1093886632
Registry record updated Oct 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
B123 Issued in NV
Practice address
101 Hot Springs Rd
#6F
Carson City, NV 89706-1601
Phone
(775) 883-3113
Fax
(775) 883-6216
NPI assigned
Nov 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 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 B123 NV Primary

Addresses

Primary practice location

101 Hot Springs Rd
#6F
Carson City, NV 89706-1601

Mailing address

PO Box 2303
Carson City, NV 89702-2303
Phone (775) 883-3113

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051013000590 NV Practitioner - Chiropractic 7214952704 Practice locations: Carson City, NV

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1976
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

101 Hot Springs Rd
Carson City, NV 89706-1601
Phone (702) 883-3113

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
B123NVMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192406400000",
    "number": "1093886632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2303",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897022303",
            "telephone_number": "775-883-3113",
            "fax_number": "775-883-6216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 HOT SPRINGS RD",
            "address_2": "#6F",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897061601",
            "telephone_number": "775-883-3113",
            "fax_number": "775-883-6216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMTAK",
        "first_name": "JAMES",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.