Organization Active NPI

Hullman Family Chiropractic, PLC

  • Chiropractor
  • Traverse City, MI
National Provider Identifier
1730360447
Registry record updated Nov 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301008427 Issued in MI
Legal business name
HULLMAN FAMILY CHIROPRACTIC, PLC
Practice address
419 Wellington St
Traverse City, MI 49686-2659
Phone
(231) 933-9433
Fax
(231) 933-9414
NPI assigned
Nov 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2007

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

Authorized official

Name
Dr. Jason Hullman, DCNPI 1295865723
Title
Owner
Phone
(231) 933-9433

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 2301008427 MI Primary

Addresses

Primary practice location

419 Wellington St
Traverse City, MI 49686-2659

Mailing address

419 Wellington St
Traverse City, MI 49686-2659
Phone (231) 933-9433

Other identifiers 1

IdentifierTypeStateIssuer
4380982MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120113000586 MI Part B Supplier - Clinic/Group Practice 1153598149 Receives reassigned benefits from 1 practitioner
Practice locations: Traverse City, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1195603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195603200000",
    "number": "1730360447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 WELLINGTON ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496862659",
            "telephone_number": "231-933-9433",
            "fax_number": "231-933-9414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 WELLINGTON ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496862659",
            "telephone_number": "231-933-9433",
            "fax_number": "231-933-9414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HULLMAN FAMILY CHIROPRACTIC, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-21",
        "last_updated": "2007-11-21",
        "status": "A",
        "authorized_official_last_name": "HULLMAN",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-933-9433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4380982",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2007; 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.