Derek Tyler Hines, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0008239 Issued in CO

Practice address

5962 Stetson Hills Blvd
Colorado Springs, CO 80923-3579

Phone

(719) 596-8700

NPI assigned

Aug 28, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Conrad Chiropractic & Wellness P.C.

  • Sports Physician Chiropractor
  • Colorado Springs, CO
  • NPI 1063746857
  NPD

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1265045165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5034 HAWK MEADOW DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809165729",
            "telephone_number": "405-664-3394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5962 STETSON HILLS BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809233579",
            "telephone_number": "719-596-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINES",
        "first_name": "DEREK",
        "middle_name": "TYLER",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-28",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "0008239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Diehl Hinderland, D.P.M.
• Josephina Hinds
• Hinds' Feet Adventures
• Hinds' Feet Adventures
• Ciera Rose Hines, RBT
• Sal Hines
• Holly Hinesley, MS, PT
• Tiffani Hinkeldey
• Jeanne Marie Hinkelman, PSYD
• Barbara Jean Hinkle, LMT

• Chiropractor in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.