Organization Active NPI

Hillman Walk-in Chiropractic LLC

  • Chiropractor
  • Bryan, OH
National Provider Identifier
1700145000
Registry record updated Jul 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4039 Issued in OH
Legal business name
HILLMAN WALK-IN CHIROPRACTIC LLC
Practice address
130 S Lynn St
Bryan, OH 43506-1653
Phone
(419) 799-2425
Fax
(419) 660-9575
NPI assigned
May 8, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2020

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

Authorized official

Name
Dr. Robert Hillman, D.C.NPI 1255632519
Title
Owner/Chiropractor
Phone
(419) 799-2425

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: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4039 OH Primary

Addresses

Primary practice location

130 S Lynn St
Bryan, OH 43506-1653

Mailing address

130 S Lynn St
Bryan, OH 43506-1653
Phone (419) 799-2425

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120523000117 OH Part B Supplier - Clinic/Group Practice 3274796685 Receives reassigned benefits from 1 practitioner
Practice locations: Bryan, OH

National Provider Directory

National Provider Directory

Locations

825 N Main St
Bryan, OH 43506

Practitioners & affiliated clinicians

Practitioners 1

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": "1336435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595808000000",
    "number": "1700145000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 S LYNN ST",
            "city": "BRYAN",
            "state": "OH",
            "postal_code": "435061653",
            "telephone_number": "419-799-2425",
            "fax_number": "419-660-2425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 S LYNN ST",
            "city": "BRYAN",
            "state": "OH",
            "postal_code": "435061653",
            "telephone_number": "419-799-2425",
            "fax_number": "419-660-9575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLMAN WALK-IN CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-08",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A",
        "authorized_official_last_name": "HILLMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "419-799-2425",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryan, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; 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.