Active NPI
Hofferth Chiropractic Center LLC
- Chiropractor
- Mishawaka, IN
National Provider Identifier
1306447313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- HOFFERTH CHIROPRACTIC CENTER LLC
- Practice address
- 826 W Edison Rd
Mishawaka, IN 46545-2744 - Phone
- (574) 256-1008
- NPI assigned
- Nov 5, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gerard Hofferth, D.C.
- Title
- Owner
- Phone
- (574) 256-1008
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
826 W Edison Rd
Mishawaka, IN 46545-2744
Mailing address
PO Box 6206
South Bend, IN 46660-6206
Phone (574) 256-1008
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220310001211 | IN | Part B Supplier - Clinic/Group Practice | 6709271786 |
Receives reassigned benefits from 3 practitioners Practice locations: Mishawaka, IN |
National Provider Directory
National Provider DirectoryLocations
826 W Edison Rd
Mishawaka, IN 46545
Phone (574) 256-1007
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Mishawaka, IN
- NPI 1932227196
-
- Chiropractor
- Mishawaka, IN
- NPI 1912371766
-
- Chiropractor
- Mishawaka, IN
- NPI 1396898359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604534400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1604534400000",
"number": "1306447313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6206",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466606206",
"telephone_number": "574-256-1008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "826 W EDISON RD",
"city": "MISHAWAKA",
"state": "IN",
"postal_code": "465452744",
"telephone_number": "574-256-1008"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOFFERTH CHIROPRACTIC CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-05",
"last_updated": "2020-11-05",
"certification_date": "2020-11-05",
"status": "A",
"authorized_official_last_name": "HOFFERTH",
"authorized_official_first_name": "GERARD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "574-256-1008",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mishawaka, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.