Organization Active NPI

Jerry F. Hines D.C. Inc

Doing business as Hines Health

  • Chiropractor
  • Rogers, AR
National Provider Identifier
1336297027
Registry record updated Nov 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
JERRY F. HINES D.C. INC
Doing business as
Hines Health
Practice address
305 N 24TH St
Rogers, AR 72756-3294
Phone
(479) 363-3021
Fax
(479) 636-9171
NPI assigned
Jan 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2007

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

Authorized official

Name
Steven R Hines, D.C.NPI 1194826610
Title
President
Phone
(479) 636-3021

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

305 N 24TH St
Rogers, AR 72756-3294

Mailing address

305 N 24TH St
Rogers, AR 72756-3294
Phone (479) 363-3021

Other names 1

  • Hines Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070518000279 AR Part B Supplier - Clinic/Group Practice 7911004379 Receives reassigned benefits from 2 practitioners
Practice locations: Rogers, AR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195603200000",
    "number": "1336297027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 N 24TH ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727563294",
            "telephone_number": "479-363-3021",
            "fax_number": "479-636-9171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 N 24TH ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727563294",
            "telephone_number": "479-363-3021",
            "fax_number": "479-636-9171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY F. HINES D.C. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-11-21",
        "status": "A",
        "authorized_official_last_name": "HINES",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "479-636-3021",
        "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": [
        {
            "organization_name": "Hines Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rogers, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2007; 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.

Verify at the official NPI Registry.