Active NPI
Kendal Joel Hoard, DC
- Chiropractor
- Port Washington, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3524-012
- Practice address
- 1475 W Grand Ave
Port Washington, WI 53074-2074 - Phone
- (262) 268-5100
- NPI assigned
- Dec 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3524-012 | WI | Primary |
Addresses
Primary practice location
1475 W Grand Ave
Port Washington, WI 53074-2074
Mailing address
PO Box 735044
Chicago, IL 60673-5044
Phone (800) 326-2250
Other practice location 1
1516 W Mequon Rd Ste 202
Mequon, WI 53092-3264
Phone (262) 478-0033
Other practice location 2
1020 N 12th St
Milwaukee, WI 53233-1308
Phone (414) 219-5219
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100150390 | Medicaid | WI |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | khoard302833@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
N112 W17975 Mequon Rd
Germantown, WI 53022-2425
Phone (262) 532-7600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3524-012 | WI | MD | Chiropractor |
| 3524 | WI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Aurora Advanced Healthcare Inc | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Lakeshore Medical Clinic, LLC | Current | Accepting new patients | |
| Aurora Advanced Healthcare, Inc. | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Current | Accepting new patients |
Locations
N112W17975 Mequon Rd
Germantown, WI 53022
Phone (262) 532-7600
3003 W Good Hope Rd
Glendale, WI 53209
Phone (414) 352-3100
12203 N Corporate Pkwy
Mequon, WI 53092
Phone (262) 387-8200
1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056
3301 W Forest Home Ave
Milwaukee, WI 53215
Phone (414) 389-2233
S74W16775 Janesville Rd
Muskego, WI 53150
Phone (414) 422-4747
1475 W Grand Ave
Port Washington, WI 53074
Phone (262) 268-5100
2000 E Layton Ave
St Francis, WI 53235
Phone (414) 744-7880
Interoperability endpoints
- khoard302833@direct.myadvocateaurora.org
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Milwaukee, WI
- NPI 1265629133
-
- Certified Registered Nurse Anesthetist
- Milwaukee, WI
- NPI 1427271378
-
- Family Medicine Physician
- St Francis, WI
- NPI 1003861188
-
- Durable Medical Equipment & Medical Supplies
- Summit, WI
- NPI 1477186633
-
- Durable Medical Equipment & Medical Supplies
- Oshkosh, WI
- NPI 1326858044
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Milwaukee, WI
- NPI 1659599157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707955200000",
"number": "1740349984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 735044",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606735044",
"telephone_number": "800-326-2250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1475 W GRAND AVE",
"city": "PORT WASHINGTON",
"state": "WI",
"postal_code": "530742074",
"telephone_number": "262-268-5100"
}
],
"practiceLocations": [
{
"address_1": "1516 W Mequon Rd Ste 202",
"address_purpose": "LOCATION",
"city": "Mequon",
"state": "WI",
"postal_code": "530923264",
"country_code": "US",
"telephone_number": "262-478-0033",
"fax_number": "262-478-0035",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1020 N 12th St",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "532331308",
"country_code": "US",
"telephone_number": "414-219-5219",
"fax_number": "414-219-5960",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOARD",
"first_name": "KENDAL",
"middle_name": "JOEL",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-06",
"last_updated": "2024-02-15",
"certification_date": "2024-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "3524-012",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100150390",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "khoard302833@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1020 N 12th St",
"city": "Milwaukee",
"state": "WI",
"country_code": "US",
"postal_code": "532331308",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "1020 N 12th St",
"city": "Milwaukee",
"state": "WI",
"country_code": "US",
"postal_code": "532331308",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Port Washington, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.