Organization Active NPI

Huber Chiropractic, Inc

  • Preferred Provider Organization
  • Stockton, CA
National Provider Identifier
1568847960
Registry record updated Jul 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
DC17198 Issued in CA
Legal business name
HUBER CHIROPRACTIC, INC
Practice address
1502 Saint Marks PLZ Ste 4
Stockton, CA 95207-6409
Phone
(209) 957-6555
Fax
(209) 957-6568
NPI assigned
Jul 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2015

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

Authorized official

Name
K. Peter Huber, D.CNPI 1730295460
Title
Chiropractor
Phone
(209) 957-6555

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
Preferred Provider Organization 305R00000X DC17198 CA Primary

Addresses

Primary practice location

1502 Saint Marks PLZ Ste 4
Stockton, CA 95207-6409

Mailing address

1502 Saint Marks PLZ Ste 4
Stockton, CA 95207-6409
Phone (209) 957-6555

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150819008517 CA Part B Supplier - Clinic/Group Practice 5698080638 Receives reassigned benefits from 1 practitioner
Practice locations: Stockton, CA

National Provider Directory

National Provider Directory

Locations

1502 Saint Marks Plz
Ste 4
Stockton, CA 95207
Phone (209) 957-6555

Practitioners & affiliated clinicians

Practitioners 2

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": "1437955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437955200000",
    "number": "1568847960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 SAINT MARKS PLZ STE 4",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952076409",
            "telephone_number": "209-957-6555",
            "fax_number": "209-957-6568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 SAINT MARKS PLZ STE 4",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952076409",
            "telephone_number": "209-957-6555",
            "fax_number": "209-957-6568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUBER CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-27",
        "last_updated": "2015-07-27",
        "status": "A",
        "authorized_official_last_name": "HUBER",
        "authorized_official_first_name": "K. PETER",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "209-957-6555",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "DC17198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2015; 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.