Individual provider Active NPI

Jonathan R Hoops, D.C.

  • Sports Physician Chiropractor
  • Fullerton, CA
National Provider Identifier
1174816128
Registry record updated May 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
DC31992 Issued in CA
Practice address
206 N Euclid St
Fullerton, CA 92832-1621
Phone
(714) 526-9355
Fax
(714) 526-9350
NPI assigned
May 24, 2011
Last updated
May 24, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X DC31992 CA Primary

Addresses

Primary practice location

206 N Euclid St
Fullerton, CA 92832-1621

Mailing address

206 N Euclid St
Fullerton, CA 92832-1621
Phone (714) 526-9355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140623002119 CA Practitioner - ChiropracticPractitioner - Sports Medicine 9234352071 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Sports Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

206 N Euclid St
Fullerton, CA 92832-1621
Phone (714) 526-9355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC31992CAMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Jonathan Hoops Chiropractic CurrentSince Feb 22, 2014 Accepting new patients
Renfro Chiropractic Robert S Renfro Past Accepting new patients

Locations

206 N Euclid St
Fullerton, CA 92832
Phone (714) 526-9355

Organizations & group practices 2

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": "1306195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306195200000",
    "number": "1174816128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 N EUCLID ST",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928321621",
            "telephone_number": "714-526-9355",
            "fax_number": "714-526-9350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 N EUCLID ST",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928321621",
            "telephone_number": "714-526-9355",
            "fax_number": "714-526-9350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOPS",
        "first_name": "JONATHAN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-24",
        "last_updated": "2011-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "DC31992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

Verify at the official NPI Registry.