Active NPI
Kim Hodge
- Chiropractor
- Junction City, KS
National Provider Identifier
1619392214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 01-05992
- Practice address
- 425 N Washington St
Junction City, KS 66441-3686 - Phone
- (785) 492-7601
- NPI assigned
- Feb 19, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 01-05992 | KS | Primary |
| Chiropractor | 111N00000X | 16050 | AR |
Addresses
Primary practice location
425 N Washington St
Junction City, KS 66441-3686
Mailing address
425 N Washington St
Junction City, KS 66441-3686
Other names 1
- Kim Hodge
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16050 | AR | MD | Chiropractor |
| 01-05992 | KS | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457740800000",
"number": "1619392214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 N WASHINGTON ST",
"city": "JUNCTION CITY",
"state": "KS",
"postal_code": "664413686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 N WASHINGTON ST",
"city": "JUNCTION CITY",
"state": "KS",
"postal_code": "664413686",
"telephone_number": "785-492-7601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HODGE",
"first_name": "KIM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-02-19",
"last_updated": "2016-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KS",
"license": "01-05992",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AR",
"license": "16050",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KIM",
"last_name": "HODGE",
"credential": "DC",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Junction City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.