Individual provider Active NPI

Jonathan Franklin Hitchcock, DC

  • Chiropractor
  • Pocatello, ID
National Provider Identifier
1114422995
Registry record updated Mar 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5571 Issued in KY
Practice address
2010 Flandro Dr
Pocatello, ID 83202-1947
Phone
(208) 351-5588
Fax
(208) 238-0603
NPI assigned
Mar 26, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5571 KY Primary

Addresses

Primary practice location

2010 Flandro Dr
Pocatello, ID 83202-1947

Mailing address

7707 Preston Hwy
Louisville, KY 40219-3138
Phone (502) 962-2277

Other practice location 1

7707 Preston Hwy
Louisville, KY 40219-3138
Phone (502) 962-2277

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190531000701 ID Practitioner - Chiropractic 3971866203 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2010 Flandro Dr
Pocatello, ID 83202-1947
Phone (208) 351-5588

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hitchcock Chiropractic Chiropractor CurrentSince Feb 28, 2019 Accepting new patients

Locations

2010 Flandro Dr
Pocatello, ID 83202
Phone (208) 238-0600

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1522022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552867200000",
    "number": "1114422995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7707 PRESTON HWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402193138",
            "telephone_number": "502-962-2277",
            "fax_number": "502-962-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 FLANDRO DR",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832021947",
            "telephone_number": "208-351-5588",
            "fax_number": "208-238-0603"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7707 Preston Hwy",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402193138",
            "country_code": "US",
            "telephone_number": "502-962-2277",
            "fax_number": "502-962-1001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HITCHCOCK",
        "first_name": "JONATHAN",
        "middle_name": "FRANKLIN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-26",
        "last_updated": "2019-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "5571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocatello, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2019; 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.