Robert Charles Hoffmann, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2322 Issued in MN

Practice address

2330 Crosstown Blvd NE
Ham Lake, MN 55304-4410

Phone

(763) 434-5714

Fax

(763) 434-3570

NPI assigned

Oct 5, 2006

Last updated

May 2, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Crosstown Chiropractic PA

  • Clinic/Center
  • Ham Lake, MN
  • NPI 1083350664
  NPD

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304294400000",
    "number": "1689761496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 CROSSTOWN BLVD NE",
            "city": "HAM LAKE",
            "state": "MN",
            "postal_code": "553044410",
            "telephone_number": "763-434-5714",
            "fax_number": "763-434-3570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 CROSSTOWN BLVD NE",
            "city": "HAM LAKE",
            "state": "MN",
            "postal_code": "553044410",
            "telephone_number": "763-434-5714",
            "fax_number": "763-434-3570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMANN",
        "first_name": "ROBERT",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2011-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "349298200",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS ID NUMBER",
            "identifier": "64995HO",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grace-Helen Halvorson
• Ham Lake Dental PA
• Rafay Syed Hasan
• Samuel G Hawk, DO
• Healing Artstherapy Services, LLC
• Valorie Dee Hoffmann, D.C.
• Horizons Community Church (The Healing Place)
• Scott James Imberg, DDS
• Christine Ann Hess Ingbretson, D.C.
• Kristin Kay Ingram

• Chiropractor in Ham Lake, MN
• Providers in Ham Lake, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.