Active NPI
Gerald B. Vanden Hoek, D.C.
- Chiropractor
- Brentwood, MO
National Provider Identifier
1306889282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 006039
- Practice address
- 2201 S Brentwood Blvd
Suite 103
Brentwood, MO 63144-1847 - Phone
- (314) 667-8864
- Fax
- (314) 717-0010
- NPI assigned
- Jun 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 006039 | MO | Primary |
Addresses
Primary practice location
2201 S Brentwood Blvd
Suite 103
Brentwood, MO 63144-1847
Mailing address
2201 S Brentwood Blvd Ste 103
Brentwood, MO 63144-1847
Phone (314) 667-8864
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 193273 | Other | MO | HEALTHLINK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141111001868 | MO | Practitioner - Chiropractic | 2062311988 | Practice locations: Webster Groves, MO |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allied Physicians, S.C. | Chiropractor | Past | Accepting new patients |
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": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486425600000",
"number": "1306889282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2201 S BRENTWOOD BLVD STE 103",
"city": "BRENTWOOD",
"state": "MO",
"postal_code": "631441847",
"telephone_number": "314-667-8864",
"fax_number": "314-717-0010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2201 S BRENTWOOD BLVD",
"address_2": "SUITE 103",
"city": "BRENTWOOD",
"state": "MO",
"postal_code": "631441847",
"telephone_number": "314-667-8864",
"fax_number": "314-717-0010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDEN HOEK",
"first_name": "GERALD",
"middle_name": "B.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2017-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "006039",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "193273",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brentwood, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; 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.