Individual provider Active NPI

Martin Hodgson, DC

  • Chiropractor
  • Sonoma, CA
National Provider Identifier
1679068209
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC34187 Issued in CA
Practice address
991 Broadway
Sonoma, CA 95476-7403
Phone
(707) 913-9691
NPI assigned
Jun 26, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC34187 CA Primary

Addresses

Primary practice location

991 Broadway
Sonoma, CA 95476-7403

Mailing address

450 Denmark St
Sonoma, CA 95476-7603

Other practice location 1

450 Denmark St
Sonoma, CA 95476-7603
Phone (707) 364-2608

Other practice location 2

200 W County Line Rd Ste 310
Highlands Ranch, CO 80129-2342
Phone (303) 913-4737

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200103000612 CA Practitioner - Chiropractic 1658704432 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

991 Broadway
Sonoma, CA 95476-7403
Phone (707) 913-9691

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34187CAMDMarriage & Family Therapist
DC34187CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Hodgson Chiropractic Group Inc. Chiropractor CurrentSince Oct 26, 2024 Accepting new patients
Navigater Health Chiropractic PLLC Chiropractor CurrentSince Apr 9, 2024 Accepting new patients
Navigate Wellness PLLC Chiropractor PastSince Oct 1, 2021 Accepting new patients

Locations

991 Broadway
Sonoma, CA 95476
Phone (707) 913-9691

200 W County Line Rd
Ste 310
Highlands Ranch, CO 80129
Phone (303) 791-2841

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1529971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1679068209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 DENMARK ST",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "954767603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "991 BROADWAY",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "954767403",
            "telephone_number": "707-913-9691"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 Denmark St",
            "address_purpose": "LOCATION",
            "city": "Sonoma",
            "state": "CA",
            "postal_code": "954767603",
            "country_code": "US",
            "telephone_number": "707-364-2608",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 W County Line Rd Ste 310",
            "address_purpose": "LOCATION",
            "city": "Highlands Ranch",
            "state": "CO",
            "postal_code": "801292342",
            "country_code": "US",
            "telephone_number": "303-913-4737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HODGSON",
        "first_name": "MARTIN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-26",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC34187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sonoma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; 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.