Organization Active NPI

Luverne Health & Wellness

  • Chiropractor
  • Luverne, MN
National Provider Identifier
1356548283
Registry record updated Jul 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4875 Issued in MN
Legal business name
LUVERNE HEALTH & WELLNESS
Practice address
109 S Freeman Ave
Luverne, MN 56156-1824
Phone
(507) 449-4400
Fax
(507) 449-4401
NPI assigned
Jul 3, 2007
Last updated
Jul 10, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2007

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

Authorized official

Name
Dr. Cody Lynn Hoefert IV, D.C.NPI 1144290370
Title
Owner
Phone
(712) 472-4732

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
Chiropractor 111N00000X 4875 MN Primary

Addresses

Primary practice location

109 S Freeman Ave
Luverne, MN 56156-1824

Mailing address

109 S Freeman Ave
Luverne, MN 56156-1824
Phone (507) 449-4400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070806000113 MN Part B Supplier - Clinic/Group Practice 6204927262 Receives reassigned benefits from 1 practitioner
Practice locations: Luverne, MN

National Provider Directory

National Provider Directory

Locations

109 S Freeman Ave
Luverne, MN 56156
Phone (507) 283-9484

Practitioners & affiliated clinicians

Practitioners 4

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": "1183420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184025600000",
    "number": "1356548283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 S FREEMAN AVE",
            "city": "LUVERNE",
            "state": "MN",
            "postal_code": "561561824",
            "telephone_number": "507-449-4400",
            "fax_number": "507-449-4401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 S FREEMAN AVE",
            "city": "LUVERNE",
            "state": "MN",
            "postal_code": "561561824",
            "telephone_number": "507-449-4400",
            "fax_number": "507-449-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUVERNE HEALTH & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-03",
        "last_updated": "2007-07-10",
        "status": "A",
        "authorized_official_last_name": "HOEFERT",
        "authorized_official_first_name": "CODY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "712-472-4732",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Luverne, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.