Organization Active NPI

Hoard Chiropractic Inc.

  • Chiropractor
  • Vicksburg, MI
National Provider Identifier
1619006087
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301004855 Issued in MI
Legal business name
HOARD CHIROPRACTIC INC.
Practice address
1778 E VW Ave
Vicksburg, MI 49097-9410
Phone
(269) 649-0325
Fax
(269) 649-4334
NPI assigned
Mar 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Stephen M Hoard, D.C.NPI 1467559377
Title
Doctor of Chiropractic
Phone
(269) 649-0325

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301004855 MI Primary

Addresses

Primary practice location

1778 E VW Ave
Vicksburg, MI 49097-9410

Mailing address

1778 E VW Ave
Vicksburg, MI 49097-9410
Phone (269) 649-0325

Other names 1

  • Hoard Chiropractic Offices Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120111000166 MI Part B Supplier - Clinic/Group Practice 6103093398 Receives reassigned benefits from 1 practitioner
Practice locations: Vicksburg, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1172880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619006087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1778 E VW AVE",
            "city": "VICKSBURG",
            "state": "MI",
            "postal_code": "490979410",
            "telephone_number": "269-649-0325",
            "fax_number": "269-649-4334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1778 E VW AVE",
            "city": "VICKSBURG",
            "state": "MI",
            "postal_code": "490979410",
            "telephone_number": "269-649-0325",
            "fax_number": "269-649-4334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOARD CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOARD",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "269-649-0325",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301004855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hoard Chiropractic Offices",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Vicksburg, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.