NPIMap

Organization Active NPI

Hideman Chiropractic

  • Chiropractor
  • Goshen, IN
National Provider Identifier
1437196722
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08001551 Issued in IN
Legal business name
HIDEMAN CHIROPRACTIC
Practice address
1131 S Indiana Ave
Goshen, IN 46526-6207
Phone
(574) 533-0770
Fax
(574) 534-0770
NPI assigned
Jun 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kenneth Steven Hideman, D.C.NPI 1295749315
Title
President
Phone
(574) 533-0770

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 08001551 IN Primary

Addresses

Primary practice location

1131 S Indiana Ave
Goshen, IN 46526-6207

Mailing address

1131 S Indiana Ave
Goshen, IN 46526-6207
Phone (574) 533-0770

Other identifiers 1

IdentifierTypeStateIssuer
000000387548OtherINANTHEM PIN

National Provider Directory

National Provider Directory

Locations

1131 S Indiana Ave
Goshen, IN 46526
Phone (574) 533-0770

Practitioners & affiliated clinicians

Practitioners 1

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": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437196722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 S INDIANA AVE",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465266207",
            "telephone_number": "574-533-0770",
            "fax_number": "574-534-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 S INDIANA AVE",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465266207",
            "telephone_number": "574-533-0770",
            "fax_number": "574-534-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIDEMAN CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HIDEMAN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "574-533-0770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "000000387548",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goshen, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.