Organization Active NPI

507 Family Chiropractic LLC

  • Chiropractor
  • Stewartville, MN
National Provider Identifier
1467127738
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
507 FAMILY CHIROPRACTIC LLC
Doing business as
507 Family Chiropractic LLC
Practice address
100 2ND St SE Ste 2
Stewartville, MN 55976-1289
Phone
(319) 360-6531
NPI assigned
Aug 10, 2021
Last updated
Aug 10, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

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

Authorized official

Name
Dr. Kevin J Hosch, DCNPI 1871126235
Title
Owner
Phone
(319) 360-6531

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

100 2ND St SE Ste 2
Stewartville, MN 55976-1289

Mailing address

100 2ND St SE Ste 2
Stewartville, MN 55976-1289
Phone (319) 360-6531

Other names 1

  • 507 FAMILY CHIROPRACTIC LLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220513001734 MN Part B Supplier - Clinic/Group Practice 8820475775 Receives reassigned benefits from 1 practitioner
Practice locations: Stewartville, MN

National Provider Directory

National Provider Directory

Locations

100 2nd St SE
Ste 2
Stewartville, MN 55976
Phone (319) 360-6531

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": "1628553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628553600000",
    "number": "1467127738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 2ND ST SE STE 2",
            "city": "STEWARTVILLE",
            "state": "MN",
            "postal_code": "559761289",
            "telephone_number": "319-360-6531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 2ND ST SE STE 2",
            "city": "STEWARTVILLE",
            "state": "MN",
            "postal_code": "559761289",
            "telephone_number": "319-360-6531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "507 FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-10",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A",
        "authorized_official_last_name": "HOSCH",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-360-6531",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "507 FAMILY CHIROPRACTIC LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stewartville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; 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.