Individual provider Active NPI

Jason Hullman, D.C.

  • Chiropractor
  • Traverse City, MI
National Provider Identifier
1295865723
Registry record updated Oct 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301008427 Issued in MI
Practice address
419 Wellington St
Traverse City, MI 49686-2659
Phone
(231) 933-9433
NPI assigned
Mar 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301008427 MI Primary

Addresses

Primary practice location

419 Wellington St
Traverse City, MI 49686-2659

Mailing address

419 Wellington St
Traverse City, MI 49686-2659
Phone (231) 933-9433

Other identifiers 2

IdentifierTypeStateIssuer
950B850530OtherMIBCBS
4380982MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120113000613 MI Practitioner - ChiropracticPractitioner - Sports Medicine 2062689052 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Sports Medicine
Education
Sherman College of Straight Chiropractic, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

419 Wellington St
Traverse City, MI 49686-2659

697 Hannah Ave
Suite a
Traverse City, MI 49686-3399
Phone (231) 933-9433

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hullman Family Chiropractic, PLC Chiropractor CurrentSince May 1, 2002 Accepting new patients

Locations

697 Hannah Ave
Ste A
Traverse City, MI 49686
Phone (231) 933-9433

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318464000000",
    "number": "1295865723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 WELLINGTON ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496862659",
            "telephone_number": "231-933-9433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 WELLINGTON ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496862659",
            "telephone_number": "231-933-9433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULLMAN",
        "first_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2011-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "950B850530",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4380982",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

Verify at the official NPI Registry.