Organization Active NPI

Hull Chiropractic

  • Chiropractor
  • Hull, IA
National Provider Identifier
1376922989
Registry record updated May 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007606 Issued in IA
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.CNPI 1205171915
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.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150709000630 IA Part B Supplier - Clinic/Group Practice 2567774243 Receives reassigned benefits from 1 practitioner
Practice locations: Hull, IA

National Provider Directory

National Provider Directory

Locations

521 Black Forest Rd
Ste 4
Hull, IA 51239
Phone (712) 439-6550

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 007606 IA Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.