Organization Active NPI

Hudson Family Chiropractic, PLC

  • Chiropractor
  • Hudson, IA
National Provider Identifier
1093953374
Registry record updated Jan 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
03028 Issued in IA
Legal business name
HUDSON FAMILY CHIROPRACTIC, PLC
Practice address
107 Eldora Rd
Hudson, IA 50643-0366
Phone
(319) 988-3336
Fax
(319) 988-3196
NPI assigned
Jan 26, 2009
Last updated
Jan 26, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2009

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

Authorized official

Name
Dr. Glen Leroy Groothuis, D.C.NPI 1083694210
Title
President
Phone
(319) 988-3336

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: 193200000X MULTI-SPECIALTY GROUP 111N00000X 03028 IA Primary

Addresses

Primary practice location

107 Eldora Rd
Hudson, IA 50643-0366

Mailing address

P.O. Box 366
107 Eldora Rd.
Hudson, IA 50643-0366
Phone (319) 988-3336

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1232928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232928000000",
    "number": "1093953374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 366",
            "address_2": "107 ELDORA RD.",
            "city": "HUDSON",
            "state": "IA",
            "postal_code": "506430366",
            "telephone_number": "319-988-3336",
            "fax_number": "319-988-3196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 ELDORA RD",
            "city": "HUDSON",
            "state": "IA",
            "postal_code": "506430366",
            "telephone_number": "319-988-3336",
            "fax_number": "319-988-3196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUDSON FAMILY CHIROPRACTIC, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-26",
        "last_updated": "2009-01-26",
        "status": "A",
        "authorized_official_last_name": "GROOTHUIS",
        "authorized_official_first_name": "GLEN",
        "authorized_official_middle_name": "LEROY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "319-988-3336",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "03028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2009; 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.