Organization Active NPI

Wayne J Hodges Chiropractic a Professional Corporation

  • Chiropractor
  • Lancaster, CA
National Provider Identifier
1801927892
Registry record updated Feb 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC18037 Issued in CA
Legal business name
WAYNE J HODGES CHIROPRACTIC A PROFESSIONAL CORPORATION
Practice address
1650 W Avenue J
Lancaster, CA 93534-2814
Phone
(661) 940-6302
Fax
(661) 940-6083
NPI assigned
Mar 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2018

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

Authorized official

Name
Miss Sara R Florez
Title
Office Biller Credentialer
Phone
(661) 940-6302

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC18037 CA Primary

Addresses

Primary practice location

1650 W Avenue J
Lancaster, CA 93534-2814

Mailing address

1650 W Avenue J
Lancaster, CA 93534-2814
Phone (661) 940-6302

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060629000121 CA Part B Supplier - Clinic/Group Practice 9830101369 Receives reassigned benefits from 2 practitioners
Practice locations: Lancaster, CA

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": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519344000000",
    "number": "1801927892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 W AVENUE J",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342814",
            "telephone_number": "661-940-6302",
            "fax_number": "661-940-6083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 W AVENUE J",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342814",
            "telephone_number": "661-940-6302",
            "fax_number": "661-940-6083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE J HODGES CHIROPRACTIC A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2018-02-23",
        "status": "A",
        "authorized_official_last_name": "FLOREZ",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICE BILLER CREDENTIALER",
        "authorized_official_telephone_number": "661-940-6302",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC18037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2018; 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.