Active NPI
Hoard Chiropractic Inc.
- Chiropractor
- Vicksburg, MI
National Provider Identifier
1619006087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301004855
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120111000166 | MI | Part B Supplier - Clinic/Group Practice | 6103093398 |
Receives reassigned benefits from 1 practitioner Practice locations: Vicksburg, MI |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Vicksburg, MI
- NPI 1467559377
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.