Jack C Hewitt, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC31004 Issued in CA

Practice address

10900 Los Alamitos Blvd
#141
Los Alamitos, CA 90720-2354

Phone

(562) 508-5109

Fax

(855) 419-4417

NPI assigned

Jun 29, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Los Angeles College of Chiropractic, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Hewitt Kinesis Chiropractic Inc.

  • Chiropractor
  • Los Alamitos, CA
  • NPI 1841998226
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1246233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346025600000",
    "number": "1215165220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10900 LOS ALAMITOS BLVD",
            "address_2": "#141",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202354",
            "telephone_number": "562-508-5109",
            "fax_number": "855-419-4417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10900 LOS ALAMITOS BLVD",
            "address_2": "#141",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202354",
            "telephone_number": "562-508-5109",
            "fax_number": "855-419-4417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEWITT",
        "first_name": "JACK",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-29",
        "last_updated": "2012-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC31004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE #",
            "identifier": "DC31004",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yasmin Herring, MD
• Lisa Hertz, MD
• Hollis K. Hettig, M.S., MFT
• Gretchen Ann Hetzler, M.D..
• Hewitt Kinesis Chiropractic Inc.
• Tariq Iyad Hilal, D.O.
• Sage Marie Hileski
• Ryan Hill, LMFT
• Hillary Foster, MFT
• Rachel Barrios Hingco

• Chiropractor in Los Alamitos, CA
• Providers in Los Alamitos, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2012; 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.