Organization Active NPI

Hoffman Chiropractic L.L.C.

  • Chiropractor
  • Green Bay, WI
National Provider Identifier
1518036615
Registry record updated Oct 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1698-012 Issued in WI
Legal business name
HOFFMAN CHIROPRACTIC L.L.C.
Practice address
1841 S Ridge Rd
Green Bay, WI 54304-3938
Phone
(920) 498-3611
Fax
(920) 498-3611
NPI assigned
Nov 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2011

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

Authorized official

Name
Dr. Glenn John Hoffman, D.C.
Title
Owner
Phone
(920) 498-3611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1698-012 WI Primary

Addresses

Primary practice location

1841 S Ridge Rd
Green Bay, WI 54304-3938

Mailing address

1841 S Ridge Rd
Green Bay, WI 54304-3938
Phone (920) 498-3611

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318550400000",
    "number": "1518036615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1841 S RIDGE RD",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543043938",
            "telephone_number": "920-498-3611",
            "fax_number": "920-498-3611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1841 S RIDGE RD",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543043938",
            "telephone_number": "920-498-3611",
            "fax_number": "920-498-3611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOFFMAN CHIROPRACTIC L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2011-10-14",
        "status": "A",
        "authorized_official_last_name": "HOFFMAN",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-498-3611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "1698-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2011; 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.