Organization Active NPI

Michelle Hippard, DC, LTD

  • Chiropractor
  • Mascoutah, IL
National Provider Identifier
1598153561
Registry record updated Dec 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038012735 Issued in IL
Legal business name
MICHELLE HIPPARD, DC, LTD
Practice address
212 S Jefferson St
Mascoutah, IL 62258-2421
Phone
(618) 566-4144
NPI assigned
Dec 29, 2014
Last updated
Dec 29, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2014

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

Authorized official

Name
Dr. Michelle Hippard, D.C.NPI 1619375938
Title
Owner/Doctor
Phone
(618) 566-4144

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
Chiropractor 111N00000X 038012735 IL Primary

Addresses

Primary practice location

212 S Jefferson St
Mascoutah, IL 62258-2421

Mailing address

212 S Jefferson St
Mascoutah, IL 62258-2421
Phone (618) 566-4144

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150309000144 IL Part B Supplier - Clinic/Group Practice 6204152374 Receives reassigned benefits from 1 practitioner
Practice locations: Mascoutah, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1419811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419811200000",
    "number": "1598153561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 S JEFFERSON ST",
            "city": "MASCOUTAH",
            "state": "IL",
            "postal_code": "622582421",
            "telephone_number": "618-566-4144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 S JEFFERSON ST",
            "city": "MASCOUTAH",
            "state": "IL",
            "postal_code": "622582421",
            "telephone_number": "618-566-4144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE HIPPARD, DC, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-29",
        "last_updated": "2014-12-29",
        "status": "A",
        "authorized_official_last_name": "HIPPARD",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "618-566-4144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mascoutah, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2014; 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.