Organization Active NPI

Gregory J. Hough, D.C., P.C.

  • Chiropractor
  • Fort Wayne, IN
National Provider Identifier
1487828224
Registry record updated Apr 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08001092 Issued in IN
Legal business name
GREGORY J. HOUGH, D.C., P.C.
Practice address
4771 Trier Rd
Fort Wayne, IN 46815-4968
Phone
(260) 492-8300
Fax
(260) 492-8301
NPI assigned
Apr 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2012

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

Authorized official

Name
Dr. Gregory J Hough, D.C.NPI 1770676421
Title
Owner/ President
Phone
(260) 492-8300

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 08001092 IN Primary

Addresses

Primary practice location

4771 Trier Rd
Fort Wayne, IN 46815-4968

Mailing address

PO Box 15959
Fort Wayne, IN 46885-5959
Phone (260) 492-8300

Other identifiers 1

IdentifierTypeStateIssuer
100081330AMedicaidIN

Other names 1

  • Fort Wayne Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120411000319 IN Part B Supplier - Clinic/Group Practice 7315108776 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Wayne, IN

National Provider Directory

National Provider Directory

Locations

4771 Trier Rd
Fort Wayne, IN 46815
Phone (260) 482-7500

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334102400000",
    "number": "1487828224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15959",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468855959",
            "telephone_number": "260-492-8300",
            "fax_number": "260-492-8301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4771 TRIER RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468154968",
            "telephone_number": "260-492-8300",
            "fax_number": "260-492-8301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY J. HOUGH, D.C., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-14",
        "last_updated": "2012-04-11",
        "status": "A",
        "authorized_official_last_name": "HOUGH",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/ PRESIDENT",
        "authorized_official_telephone_number": "260-492-8300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100081330A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fort Wayne Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2012; 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.