Hoosier Family Chiropractic, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08001999A Issued in IN

Legal business name

HOOSIER FAMILY CHIROPRACTIC, INC.

Practice address

3901 Hagan St Ste C
Bloomington, IN 47401-8516

Phone

(812) 336-7556

Fax

(812) 336-7556

NPI assigned

Aug 15, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mary Ann Bough-Holt, D.C

Title

Doctor

Phone

(812) 336-7552

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hoosier Family Chiropractic, Inc. Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Ann Bough, DC

  • Chiropractor
  • Bloomington, IN
  • NPI 1467447516
  Medicare reassignment NPD

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261958400000",
    "number": "1780697136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 HAGAN ST STE C",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474018516",
            "telephone_number": "812-336-7552",
            "fax_number": "812-336-7556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 HAGAN ST STE C",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474018516",
            "telephone_number": "812-336-7556",
            "fax_number": "812-336-7556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOOSIER FAMILY CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2009-12-28",
        "status": "A",
        "authorized_official_last_name": "BOUGH-HOLT",
        "authorized_official_first_name": "MARY ANN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "812-336-7552",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001999A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200341440",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hoosier Family Chiropractic, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hook-Superx LLC
• Katherine Hook, LAT, ATC
• Hoosier Counseling, LLC
• Hoosier Eye Doctor Inc
• Hoosier Eye Doctor Inc
• Hoosier Hearing Solutions LLC
• Hoosier MC, LLC
• Hoosier Psychiatry, PC
• Hoosier United Therapy Service LLC
• Hoosier Wellness Operating Subsidiary, LLC

• Chiropractor in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2009; 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.