Organization Active NPI

Hoover Chiropractic Clinic Inc.

  • Chiropractor
  • Davenport, IA
National Provider Identifier
1750669669
Registry record updated Aug 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
04772 Issued in IA
Legal business name
HOOVER CHIROPRACTIC CLINIC INC.
Practice address
1421 E Locust St
Davenport, IA 52803-3241
Phone
(563) 322-5150
Fax
(563) 322-5523
NPI assigned
Jul 26, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2011

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

Authorized official

Name
Dr. Danny E Hoover, D.C.NPI 1306803242
Title
Owner
Phone
(563) 322-5150

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 04772 IA Primary

Addresses

Primary practice location

1421 E Locust St
Davenport, IA 52803-3241

Mailing address

1421 E Locust St
Davenport, IA 52803-3241
Phone (563) 322-5150

Other identifiers 2

IdentifierTypeStateIssuer
1306803242MedicaidIA
18089OtherIAWELLMARK

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110802000730 IA Part B Supplier - Clinic/Group Practice 2668641960 Receives reassigned benefits from 2 practitioners
Practice locations: Davenport, IA

National Provider Directory

National Provider Directory

Locations

1421 E Locust St
Davenport, IA 52803
Phone (319) 322-5150

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": "1311638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312243200000",
    "number": "1750669669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 E LOCUST ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528033241",
            "telephone_number": "563-322-5150",
            "fax_number": "563-322-5523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 E LOCUST ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528033241",
            "telephone_number": "563-322-5150",
            "fax_number": "563-322-5523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOOVER CHIROPRACTIC CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-26",
        "last_updated": "2011-08-02",
        "status": "A",
        "authorized_official_last_name": "HOOVER",
        "authorized_official_first_name": "DANNY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "563-322-5150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "04772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306803242",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "18089",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2011; 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.