Organization Active NPI

Hoagland Spinal Injury & Rehab Center, LTD.

  • Chiropractor
  • Robinson, IL
National Provider Identifier
1619993169
Registry record updated Sep 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
HOAGLAND SPINAL INJURY & REHAB CENTER, LTD.
Practice address
1004B N Allen St
Robinson, IL 62454-1145
Phone
(618) 544-2064
Fax
(618) 544-9028
NPI assigned
Jul 15, 2006
Last updated
Sep 25, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2007

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

Authorized official

Name
Dr. Todd A Hoagland, D.C.NPI 1265419782
Title
President
Phone
(618) 544-2064

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 IL Primary

Addresses

Primary practice location

1004B N Allen St
Robinson, IL 62454-1145

Mailing address

1004B N Allen St
Robinson, IL 62454-1145
Phone (618) 544-2064

Other identifiers 1

IdentifierTypeStateIssuer
1730097OtherILBCBS

Other names 1

  • Hoagland Chiropractic Clinic Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060718000300 IL Part B Supplier - Clinic/Group Practice 0244243129 Receives reassigned benefits from 1 practitioner
Practice locations: Robinson, IL

National Provider Directory

National Provider Directory

Locations

2135 E Main St
Robinson, IL 62454
Phone (618) 544-2064

Practitioners & affiliated clinicians

Practitioners 1

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": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190678400000",
    "number": "1619993169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004B N ALLEN ST",
            "city": "ROBINSON",
            "state": "IL",
            "postal_code": "624541145",
            "telephone_number": "618-544-2064",
            "fax_number": "618-544-9028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004B N ALLEN ST",
            "city": "ROBINSON",
            "state": "IL",
            "postal_code": "624541145",
            "telephone_number": "618-544-2064",
            "fax_number": "618-544-9028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOAGLAND SPINAL INJURY & REHAB CENTER, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2007-09-25",
        "status": "A",
        "authorized_official_last_name": "HOAGLAND",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-544-2064",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1730097",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hoagland Chiropractic Clinic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Robinson, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; 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.