Organization Active NPI

Hodgson Chiropractic Group Inc.

  • Chiropractor
  • Sonoma, CA
National Provider Identifier
1245007723
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
HODGSON CHIROPRACTIC GROUP INC.
Practice address
991 Broadway
Sonoma, CA 95476-7403
Phone
(707) 913-9691
NPI assigned
Dec 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Authorized official

Name
Dr. Martin Hodgson, DCNPI 1679068209
Title
Owner
Phone
(707) 913-9691

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: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

991 Broadway
Sonoma, CA 95476-7403

Mailing address

991 Broadway
Sonoma, CA 95476

Other names 1

  • PEAK Performance & Posture Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241205001195 CA Part B Supplier - Clinic/Group Practice 5193251841 Receives reassigned benefits from 1 practitioner
Practice locations: Sonoma, CA

National Provider Directory

National Provider Directory

Locations

991 Broadway
Sonoma, CA 95476
Phone (707) 913-9691

Practitioners & affiliated clinicians

Practitioners 1

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": "1701734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733097600000",
    "number": "1245007723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "991 BROADWAY",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "95476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "991 BROADWAY",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "954767403",
            "telephone_number": "707-913-9691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HODGSON CHIROPRACTIC GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-05",
        "last_updated": "2024-12-02",
        "certification_date": "2024-11-25",
        "status": "A",
        "authorized_official_last_name": "HODGSON",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-913-9691",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PEAK Performance & Posture",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PEAK Performance & Posture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sonoma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.