NPIMap

Organization Active NPI

Hoffman and Moore Chiropractic

  • Chiropractor
  • Portola Valley, CA
National Provider Identifier
1104046903
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC019920 Issued in CA
Legal business name
HOFFMAN AND MOORE CHIROPRACTIC
Practice address
884 Portola Rd
Portola Valley, CA 94028-7264
Phone
(650) 851-4860
Fax
(650) 851-4974
NPI assigned
Apr 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Jessica Karen Reynolds
Title
Office Manage
Phone
(650) 851-4860

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC019920 CA Primary

Addresses

Primary practice location

884 Portola Rd
Portola Valley, CA 94028-7264

Mailing address

884 Portola Rd
Portola Valley, CA 94028-7264
Phone (650) 851-4860

National Provider Directory

National Provider Directory

Locations

884 Portola Rd
Ste A5
Portola Valley, CA 94028
Phone (650) 346-8732

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": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104046903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "884 PORTOLA RD",
            "city": "PORTOLA VALLEY",
            "state": "CA",
            "postal_code": "940287264",
            "telephone_number": "650-851-4860",
            "fax_number": "650-851-4974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "884 PORTOLA RD",
            "city": "PORTOLA VALLEY",
            "state": "CA",
            "postal_code": "940287264",
            "telephone_number": "650-851-4860",
            "fax_number": "650-851-4974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOFFMAN AND MOORE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "KAREN",
        "authorized_official_title_or_position": "OFFICE MANAGE",
        "authorized_official_telephone_number": "650-851-4860",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC019920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portola Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.