Individual provider Active NPI

Philip Aaron Hillman, D.C.

  • Chiropractor
  • Johnson City, TN
National Provider Identifier
1750454492
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1453 Issued in TN
Practice address
110 University Pkwy Apt 1
Johnson City, TN 37604-7334
Phone
(423) 926-9100
Fax
(423) 926-9200
NPI assigned
Nov 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1453 TN Primary

Addresses

Primary practice location

110 University Pkwy Apt 1
Johnson City, TN 37604-7334

Mailing address

308 Car Mol Dr Apt 8
Johnson City, TN 37601-1109
Phone (423) 791-1164

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040615001848 TN Practitioner - Chiropractic 0143204370 Practice locations: Johnson City, TN

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4132 Bristol Hwy
Suite 1
Johnson City, TN 37601

4132 Bristol Hwy
Suite 1
Johnson City, TN 37601-3162
Phone (423) 282-2082

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750454492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 CAR MOL DR APT 8",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376011109",
            "telephone_number": "423-791-1164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 UNIVERSITY PKWY APT 1",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376047334",
            "telephone_number": "423-926-9100",
            "fax_number": "423-926-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLMAN",
        "first_name": "PHILIP",
        "middle_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "1453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.