Active NPI
John Jacques Hilo, D.C.
- Chiropractor
- Northfield, MN
National Provider Identifier
1518080399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4764
- Practice address
- 158 Water St. N.
Suite 2
Northfield, MN 55057 - Phone
- (651) 270-1414
- Fax
- (507) 663-0276
- NPI assigned
- Apr 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4764 | MN | Primary |
Addresses
Primary practice location
158 Water St. N.
Suite 2
Northfield, MN 55057
Mailing address
158 Water St. N.
Suite 2
Northfield, MN 55057
Phone (651) 270-1414
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89G96HI | Other | MN | BLUE CROSS BLUE SHEILD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4764 | MN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| E. Cram PA | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1518080399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "158 WATER ST. N.",
"address_2": "SUITE 2",
"city": "NORTHFIELD",
"state": "MN",
"postal_code": "55057",
"telephone_number": "651-270-1414",
"fax_number": "507-663-0276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "158 WATER ST. N.",
"address_2": "SUITE 2",
"city": "NORTHFIELD",
"state": "MN",
"postal_code": "55057",
"telephone_number": "651-270-1414",
"fax_number": "507-663-0276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILO",
"first_name": "JOHN",
"middle_name": "JACQUES",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-09",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "4764",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHEILD",
"identifier": "89G96HI",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Northfield, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.