Individual provider Active NPI

Mason Tyler Hoel, DC

  • Chiropractor
  • Lake Bluff, IL
National Provider Identifier
1285675694
Registry record updated Sep 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038010446 Issued in IL
Practice address
10 E Scranton Ave
Suite 301a
Lake Bluff, IL 60044-2513
Phone
(847) 681-8100
NPI assigned
Jun 8, 2006
Last updated
Sep 5, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038010446 IL Primary

Addresses

Primary practice location

10 E Scranton Ave
Suite 301a
Lake Bluff, IL 60044-2513

Mailing address

466 Rockland Ave
Lake Bluff, IL 60044-2437
Phone (847) 681-8100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chiro One Wellness Center of St. Charles LLC Chiropractor PastSince Jan 18, 2016 Accepting new patients

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473033600000",
    "number": "1285675694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "466 ROCKLAND AVE",
            "city": "LAKE BLUFF",
            "state": "IL",
            "postal_code": "600442437",
            "telephone_number": "847-681-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 E SCRANTON AVE",
            "address_2": "SUITE 301A",
            "city": "LAKE BLUFF",
            "state": "IL",
            "postal_code": "600442513",
            "telephone_number": "847-681-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOEL",
        "first_name": "MASON",
        "middle_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2016-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038010446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Bluff, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2016; 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.