Individual provider Active NPI

Lisa Michelle Hinkle, D.C.

  • Chiropractor
  • Frederick, MD
National Provider Identifier
1669483376
Registry record updated Jul 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
03478 Issued in MD
Practice address
605 N Bentz St
Suite 103
Frederick, MD 21701-4982
Phone
(301) 662-4220
Fax
(301) 662-8195
NPI assigned
Aug 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 03478 MD Primary

Addresses

Primary practice location

605 N Bentz St
Suite 103
Frederick, MD 21701-4982

Mailing address

605 N Bentz St
Suite 103
Frederick, MD 21701-4982
Phone (301) 662-4220

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070912000403 MD Practitioner - Chiropractic 0244323871 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arise Chiropractic Wellness Center, LLCGroup PAC ID 1254424880, 3 clinicians

Practice addresses (Care Compare)

605 N Bentz St
Suite 103
Frederick, MD 21701-4983
Phone (301) 662-4220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
03478MDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Arise Chiropractic Wellness Center, LLC Chiropractor CurrentSince Feb 1, 2007 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

605 N Bentz St
Ste 103
Frederick, MD 21701
Phone (301) 662-4220

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280361600000",
    "number": "1669483376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 N BENTZ ST",
            "address_2": "SUITE 103",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014982",
            "telephone_number": "301-662-4220",
            "fax_number": "301-662-8195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 N BENTZ ST",
            "address_2": "SUITE 103",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014982",
            "telephone_number": "301-662-4220",
            "fax_number": "301-662-8195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINKLE",
        "first_name": "LISA",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2010-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "03478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.