Active NPI
Hull Chiropractic
- Chiropractor
- Hull, IA
National Provider Identifier
1376922989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 007606
- Legal business name
- HULL CHIROPRACTIC
- Practice address
- 521 Black Forest Rd
Suite 4
Hull, IA 51239-7411 - Phone
- (712) 722-4838
- NPI assigned
- May 28, 2015
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Dr. Derek Kosters, D.C
- Title
- President
- Phone
- (712) 722-4838
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Sioux Center, IA
- NPI 1205171915
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150709000630 | IA | Part B Supplier - Clinic/Group Practice | 2567774243 |
Receives reassigned benefits from 1 practitioner Practice locations: Hull, IA |
National Provider Directory
National Provider DirectoryLocations
521 Black Forest Rd
Ste 4
Hull, IA 51239
Phone (712) 439-6550
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 007606 | IA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
521 Black Forest Rd
Suite 4
Hull, IA 51239-7411
Mailing address
PO Box 81
Sioux Center, IA 51250-0081
Phone (712) 722-4838
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 28, 2015.
{
"created_epoch": "1432771200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1432771200000",
"number": "1376922989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 81",
"city": "SIOUX CENTER",
"state": "IA",
"postal_code": "512500081",
"telephone_number": "712-722-4838",
"fax_number": "712-722-4839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "521 BLACK FOREST RD",
"address_2": "SUITE 4",
"city": "HULL",
"state": "IA",
"postal_code": "512397411",
"telephone_number": "712-722-4838"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HULL CHIROPRACTIC",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-28",
"last_updated": "2015-05-28",
"status": "A",
"authorized_official_last_name": "KOSTERS",
"authorized_official_first_name": "DEREK",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "712-722-4838",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "IA",
"license": "007606",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hull, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; 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.