Individual provider Active NPI

Wayne Hoover, DC

  • Chiropractor
  • Montrose, CO
National Provider Identifier
1609928506
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3637 Issued in CO
Practice address
1228 E Main St # 2
Montrose, CO 81401-5821
Phone
(970) 249-2233
Fax
(297) 024-9092
NPI assigned
Jan 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3637 CO Primary

Addresses

Primary practice location

1228 E Main St # 2
Montrose, CO 81401-5821

Mailing address

1228 E Main St # 2
Montrose, CO 81401-5821
Phone (970) 249-2233

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090213000293 CO Practitioner - Chiropractic 9133284797 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1228 E Main St
Suite 2
Montrose, CO 81401-5821
Phone (970) 249-2233

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3637COMDCertified Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hoover Chiropractic Group Inc Chiropractor CurrentSince Sep 9, 2008 Accepting new patients
Main Street Chiropractic Chiropractor PastSince Sep 9, 2008 Accepting new patients

Locations

1228 E Main St
#2
Montrose, CO 81401
Phone (970) 249-2233

1228 E Main St
Ste 2
Montrose, CO 81401
Phone (970) 249-2233

Organizations & group practices 2

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": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609928506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1228 E MAIN ST # 2",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814015821",
            "telephone_number": "970-249-2233",
            "fax_number": "297-024-9092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1228 E MAIN ST # 2",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814015821",
            "telephone_number": "970-249-2233",
            "fax_number": "297-024-9092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOVER",
        "first_name": "WAYNE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "3637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montrose, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.