Individual provider Active NPI

Shawn P Hoffrogge, DOC

  • Chiropractor
  • Tacoma, WA
National Provider Identifier
1700176252
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH61475607 Issued in WA
Practice address
3901 6TH Ave
Tacoma, WA 98406-4940
Phone
(253) 756-7500
Fax
(253) 756-7501
NPI assigned
Apr 17, 2011
Last updated
Mar 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5543 MN
Chiropractor 111N00000X CH61475607 WA Primary

Addresses

Primary practice location

3901 6TH Ave
Tacoma, WA 98406-4940

Mailing address

3901 6TH Ave
Tacoma, WA 98406-4940
Phone (253) 756-7500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231227002438 WA Practitioner - Chiropractic 0547447195 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2011
Medicare assignment
May accept Medicare assignment
Group practices
Proctor Chiropractic Inc PSGroup PAC ID 7618062365, 2 clinicians

Practice addresses (Care Compare)

3901 6TH Ave
Tacoma, WA 98406-4940
Phone (253) 756-7500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5543MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Proctor Chiropractic Inc. PS Chiropractor CurrentSince Nov 12, 2023 Accepting new patients
Preferred Health of Montevideo, P.a. Chiropractor Past Accepting new patients
Mankato Chiropractic River's Edge Chiropractor PastSince Sep 6, 2018 Accepting new patients
Preferred Health of Marshall, PA Chiropractor PastSince Dec 1, 2005 Accepting new patients

Locations

3901 6th Ave
Tacoma, WA 98406
Phone (253) 756-7500

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1302998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1700176252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 6TH AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984064940",
            "telephone_number": "253-756-7500",
            "fax_number": "253-756-7501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 6TH AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984064940",
            "telephone_number": "253-756-7500",
            "fax_number": "253-756-7501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFROGGE",
        "first_name": "SHAWN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DOC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-17",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5543",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH61475607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; 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.