Individual provider Active NPI

Jason Joseph Hesselberg, D.C.

  • Chiropractor
  • Ypsilanti, MI
National Provider Identifier
1376690701
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301008173 Issued in MI
Practice address
2900 Packard Rd Ste 2
Ypsilanti, MI 48197-2061
Phone
(734) 677-0111
Fax
(734) 677-0135
NPI assigned
Jan 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301008173 MI Primary

Addresses

Primary practice location

2900 Packard Rd Ste 2
Ypsilanti, MI 48197-2061

Mailing address

2900 Packard Rd Ste 2
Ypsilanti, MI 48197-2061
Phone (734) 677-0111

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130208000033 MI Practitioner - Chiropractic 7416101944 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jason J Hesselberg DC PLLCGroup PAC ID 6800040338, 3 clinicians

Practice addresses (Care Compare)

2900 Packard Rd
Suite 2
Ypsilanti, MI 48197-2061
Phone (734) 677-0111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301008173MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Jason J. Hesselberg DC PLLC Chiropractor CurrentSince Feb 1, 2013 Accepting new patients

Locations

4039 Carpenter Rd
Ypsilanti, MI 48197
Phone (734) 677-0111

2900 Packard Rd
Ste 2
Ypsilanti, MI 48197
Phone (734) 677-0111

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15084/brand/2/csg/1/fhir/r4

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": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1376690701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 PACKARD RD STE 2",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481972061",
            "telephone_number": "734-677-0111",
            "fax_number": "734-677-0135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 PACKARD RD STE 2",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481972061",
            "telephone_number": "734-677-0111",
            "fax_number": "734-677-0135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HESSELBERG",
        "first_name": "JASON",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.