Individual provider Active NPI

Robert Hatfield, D.C.

  • Chiropractor
  • Fishers, IN
National Provider Identifier
1356438154
Registry record updated Jan 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002290A Issued in IN
Practice address
11876 Olio Rd
Suite 500
Fishers, IN 46037-9765
Phone
(317) 595-9620
Fax
(317) 595-9630
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08002290A IN Primary

Addresses

Primary practice location

11876 Olio Rd
Suite 500
Fishers, IN 46037-9765

Mailing address

11876 Olio Rd
Suite 500
Fishers, IN 46037-9765
Phone (317) 595-9620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08002290AINMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Prowellness Chiropractic, P.C. Chiropractor CurrentSince Dec 17, 2007 Accepting new patients
Premier Sports Chiropractic of Indiana , P.C. Chiropractor PastSince Apr 3, 2012 Accepting new patients

Locations

11876 Olio Rd
Ste 500
Fishers, IN 46037
Phone (317) 595-9620

Organizations & group practices 2

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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200441600000",
    "number": "1356438154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11876 OLIO RD",
            "address_2": "SUITE 500",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460379765",
            "telephone_number": "317-595-9620",
            "fax_number": "317-595-9630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11876 OLIO RD",
            "address_2": "SUITE 500",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460379765",
            "telephone_number": "317-595-9620",
            "fax_number": "317-595-9630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATFIELD",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2008-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002290A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2008; 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.