NPIMap

Organization Active NPI

Hemmelman Chiropractic, PC

  • Chiropractor
  • Woodland, WA
National Provider Identifier
1679831002
Registry record updated Apr 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00034014 Issued in WA
Legal business name
HEMMELMAN CHIROPRACTIC, PC
Practice address
1933 Belmont Loop
Suite C
Woodland, WA 98674-8492
Phone
(360) 225-5726
Fax
(360) 225-2253
NPI assigned
Apr 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2012

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

Authorized official

Name
Dr. Roberta Hemmelman, D.C.NPI 1861576068
Title
Owner
Phone
(360) 608-1666

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
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH00034014 WA Primary

Addresses

Primary practice location

1933 Belmont Loop
Suite C
Woodland, WA 98674-8492

Mailing address

1933 Belmont Loop
Suite C
Woodland, WA 98674-8492
Phone (360) 225-5726

Other names 1

  • Woodland Chiropractic Wellness Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120830000378 WA Part B Supplier - Clinic/Group Practice 2062669880 Receives reassigned benefits from 2 practitioners
Practice locations: Woodland, WA

National Provider Directory

National Provider Directory

Locations

1810 Belmont Loop
Woodland, WA 98674
Phone (360) 225-5726

1933 Belmont Loop
Ste C
Woodland, WA 98674
Phone (360) 225-5726

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1335139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335139200000",
    "number": "1679831002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1933 BELMONT LOOP",
            "address_2": "SUITE C",
            "city": "WOODLAND",
            "state": "WA",
            "postal_code": "986748492",
            "telephone_number": "360-225-5726",
            "fax_number": "360-225-2253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1933 BELMONT LOOP",
            "address_2": "SUITE C",
            "city": "WOODLAND",
            "state": "WA",
            "postal_code": "986748492",
            "telephone_number": "360-225-5726",
            "fax_number": "360-225-2253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEMMELMAN CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-23",
        "last_updated": "2012-04-23",
        "status": "A",
        "authorized_official_last_name": "HEMMELMAN",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-608-1666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodland Chiropractic Wellness Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; 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.