Active NPI
Joseph Gerard Hofferth, D.C.
- Chiropractor
- Hammond, IN
National Provider Identifier
1629101902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 08001623
- Practice address
- 1828 165TH St Ste a
Hammond, IN 46320-2823 - Phone
- (219) 763-8112
- Fax
- (219) 844-9006
- NPI assigned
- Mar 14, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 08001623 | IN | Primary |
Addresses
Primary practice location
1828 165TH St Ste a
Hammond, IN 46320-2823
Mailing address
PO Box 1430
Portage, IN 46368-9230
Phone (219) 763-8112
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300046583 | Medicaid | IN | |
| 191360058 | Other | IN | MEDICARE PTAN |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08001623 | IN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northshore Health Centers Inc | Current | Accepting new patients | |
| Northshore Health Centers, Inc. | Chiropractor | Current | Accepting new patients |
| Northshore Health Centers, Inc. | Current | Accepting new patients |
Locations
1828 165th St
Ste A
Hammond, IN 46320
6050 Sterling Creek Rd
Portage, IN 46368
Phone (219) 212-0188
Interoperability endpoints
- joe.hofferth.p1@direct.northshorehealth.nextgenshare.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba NorthShore Regional Health Centers
- Federally Qualified Health Center (FQHC)
- Merrillville, IN
- NPI 1114257300
-
- Federally Qualified Health Center (FQHC)
- East Chicago, IN
- NPI 1336992999
-
- Federally Qualified Health Center (FQHC)
- Portage, IN
- NPI 1407061336
Chiropractor
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626739200000",
"number": "1629101902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1430",
"city": "PORTAGE",
"state": "IN",
"postal_code": "463689230",
"telephone_number": "219-763-8112",
"fax_number": "219-764-5333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1828 165TH ST STE A",
"city": "HAMMOND",
"state": "IN",
"postal_code": "463202823",
"telephone_number": "219-763-8112",
"fax_number": "219-844-9006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOFFERTH",
"first_name": "JOSEPH",
"middle_name": "GERARD",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-14",
"last_updated": "2021-07-20",
"certification_date": "2021-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IN",
"license": "08001623",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300046583",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "191360058",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hammond, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.