NPIMap

Organization Active NPI

Hediger Chiropractic Clinic

  • Chiropractor
  • Homer, AK
National Provider Identifier
1306177258
Registry record updated Jan 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
124 Issued in AK
Legal business name
HEDIGER CHIROPRACTIC CLINIC
Practice address
3858 Lake St
Ste 20
Homer, AK 99603-7682
Phone
(907) 235-7221
Fax
(907) 235-3430
NPI assigned
Jan 15, 2010
Last updated
Jan 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2010

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

Authorized official

Name
Dr. Keith L Hediger, DCNPI 1962409631
Title
Sole Owner
Phone
(907) 235-7221

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 124 AK Primary

Addresses

Primary practice location

3858 Lake St
Ste 20
Homer, AK 99603-7682

Mailing address

3858 Lake St
Ste 20
Homer, AK 99603-7682
Phone (907) 235-7221

National Provider Directory

National Provider Directory

Locations

3858 Lake St
Ste 20
Homer, AK 99603
Phone (907) 235-7221

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1263513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263513600000",
    "number": "1306177258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3858 LAKE ST",
            "address_2": "STE 20",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996037682",
            "telephone_number": "907-235-7221",
            "fax_number": "907-235-3430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3858 LAKE ST",
            "address_2": "STE 20",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996037682",
            "telephone_number": "907-235-7221",
            "fax_number": "907-235-3430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEDIGER CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-15",
        "last_updated": "2010-01-15",
        "status": "A",
        "authorized_official_last_name": "HEDIGER",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "907-235-7221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AK",
            "license": "124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homer, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2010; 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.