Organization Active NPI

Hayes Chiropractic Inc

  • Chiropractor
  • Lodi, CA
National Provider Identifier
1518044130
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
HAYES CHIROPRACTIC INC
Practice address
820 S Fairmont Ave
Lodi, CA 95240-5117
Phone
(209) 368-6639
Fax
(209) 368-7330
NPI assigned
Nov 1, 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
Michael Charles Hayes, D.C.NPI 1437236122
Title
President
Phone
(209) 368-6639

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 Primary

Addresses

Primary practice location

820 S Fairmont Ave
Lodi, CA 95240-5117

Mailing address

PO Box 707
Lodi, CA 95241-0707
Phone (209) 368-6639

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040412001101 CA Part B Supplier - Clinic/Group Practice 0143214296 Receives reassigned benefits from 3 practitioners
Practice locations: Galt, CA; Lodi, CA; Stockton, CA

National Provider Directory

National Provider Directory

Locations

820 S Fairmont Ave
Lodi, CA 95240
Phone (209) 368-6639

9008 Thornton Rd
Stockton, CA 95209
Phone (209) 663-7733

2707 E Fremont St
Ste 6
Stockton, CA 95205
Phone (209) 333-3833

Practitioners & affiliated clinicians

Practitioners 10

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": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1518044130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 707",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952410707",
            "telephone_number": "209-368-6639",
            "fax_number": "209-368-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 S FAIRMONT AVE",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952405117",
            "telephone_number": "209-368-6639",
            "fax_number": "209-368-7330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYES CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-368-6639",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lodi, CA

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.
  • 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.