Individual provider Active NPI

Jason Hilla, DC

  • Chiropractor
  • Port Huron, MI
National Provider Identifier
1285290031
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301010823 Issued in MI
Practice address
2100 Water St
Port Huron, MI 48060-2543
Phone
(810) 982-2700
NPI assigned
May 17, 2019
Last updated
Oct 4, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301010823 MI Primary

Addresses

Primary practice location

2100 Water St
Port Huron, MI 48060-2543

Mailing address

2100 Water St
Port Huron, MI 48060-2543
Phone (810) 982-2700

Other identifiers 1

IdentifierTypeStateIssuer
1285290031MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190726000492 MI Practitioner - Chiropractic 8325374473 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Lakeview Chiropractic IncGroup PAC ID 6709894603, 7 clinicians

Practice addresses (Care Compare)

2100 Water St
Port Huron, MI 48060-2543
Phone (810) 982-2700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Total Health Systems Inc CurrentSince Aug 24, 2020 Accepting new patients
St. Clair Chiropractic Clinic P.C. Chiropractor CurrentSince Jul 11, 2019 Accepting new patients
Total Health Systems Inc Chiropractor CurrentSince Aug 24, 2020 Accepting new patients
Lakeview Chiropractic Inc Chiropractor CurrentSince Oct 10, 2023 Accepting new patients
Centerline Chiropractic Life Center PC Chiropractor Past Accepting new patients

Locations

26672 Van Dyke Ave
Center Line, MI 48015
Phone (586) 756-7670

28098 23 Mile Rd
Chesterfield, MI 48051
Phone (586) 949-0123

43740 Garfield Rd
Clinton Twp, MI 48038
Phone (586) 228-0270

2100 Water St
Port Huron, MI 48060
Phone (810) 966-3900

301 Trumbull St
Saint Clair, MI 48079
Phone (810) 329-9121

30045 Harper Ave
Saint Clair Shores, MI 48082
Phone (586) 771-2006

57911 Van Dyke Rd
Washington, MI 48094
Phone (586) 781-0800

Interoperability endpoints

  • Direct secure messaging: jhilla732487@direct.hfhs.org

Organizations & group practices 5

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": "1558051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1285290031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 WATER ST",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480602543",
            "telephone_number": "810-982-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 WATER ST",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480602543",
            "telephone_number": "810-982-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLA",
        "first_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-17",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285290031",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Huron, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; 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.