Individual provider Active NPI

Parker Hewes, DC

  • Chiropractor
  • Spooner, WI
National Provider Identifier
1528640505
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13113415-1202 Issued in UT
Practice address
415 N Front St
Spooner, WI 54801-1403
Phone
(262) 339-1806
NPI assigned
Apr 28, 2021
Last updated
Feb 4, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 13113415-1202 UT Primary
Sports Physician Chiropractor 111NS0005X 627812 WI

Addresses

Primary practice location

415 N Front St
Spooner, WI 54801-1403

Mailing address

415 N Front St
Spooner, WI 54801-1403
Phone (262) 339-1806

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
13113415-1202UTMDChiropractor
627812WIMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Evergreen Holistic Healing LLC CurrentSince Feb 9, 2025 Accepting new patients

Locations

415 N Front St
Spooner, WI 54801
Phone (262) 339-1806

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, 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": "1619568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1528640505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 N FRONT ST",
            "city": "SPOONER",
            "state": "WI",
            "postal_code": "548011403",
            "telephone_number": "262-339-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 N FRONT ST",
            "city": "SPOONER",
            "state": "WI",
            "postal_code": "548011403",
            "telephone_number": "262-339-1806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEWES",
        "first_name": "PARKER",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-28",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "13113415-1202",
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "WI",
            "license": "627812",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spooner, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; 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.