Individual provider Active NPI

Kristina Richelle Hinojosa, DC

  • Chiropractor
  • Edmond, OK
National Provider Identifier
1497386163
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4347 Issued in OK
Practice address
121 E Waterloo Rd Ste 3
Edmond, OK 73034-8269
Phone
(405) 825-4533
Fax
(405) 212-4258
NPI assigned
Jan 30, 2020
Last updated
Oct 31, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4347 OK Primary

Addresses

Primary practice location

121 E Waterloo Rd Ste 3
Edmond, OK 73034-8269

Mailing address

121 E Waterloo Rd Ste 3
Edmond, OK 73034-8269
Phone (405) 825-4533

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220718002183 OK Practitioner - Chiropractic 5698156966 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

121 E Waterloo Rd
Suite 3
Edmond, OK 73034-8269
Phone (405) 825-4533

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4347OKMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Roam Chiropractic Chiropractor CurrentSince Jul 1, 2022 Accepting new patients
Brookwood Chiropractic Inc. Chiropractor PastSince Sep 1, 2020 Accepting new patients

Locations

121 E Waterloo Rd
Ste 3
Edmond, OK 73034
Phone (405) 825-4533

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1580342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1497386163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 E WATERLOO RD STE 3",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730348269",
            "telephone_number": "405-825-4533",
            "fax_number": "405-212-4258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 E WATERLOO RD STE 3",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730348269",
            "telephone_number": "405-825-4533",
            "fax_number": "405-212-4258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINOJOSA",
        "first_name": "KRISTINA",
        "middle_name": "RICHELLE",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-30",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "4347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.