Organization Active NPI

Joe Hines Chiropractic, Inc.

  • Chiropractor
  • Rogers, AR
National Provider Identifier
1821040726
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1095 Issued in AR
Legal business name
JOE HINES CHIROPRACTIC, INC.
Practice address
205 N 24TH St
Rogers, AR 72756-3294
Phone
(479) 636-4021
Fax
(479) 636-4023
NPI assigned
May 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Authorized official

Name
Dr. Joseph G Hines, D.C,NPI 1063470334
Title
Owener
Phone
(479) 636-4021

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 1095 AR Primary

Addresses

Primary practice location

205 N 24TH St
Rogers, AR 72756-3294

Mailing address

PO Box 609
Rogers, AR 72757-0609
Phone (479) 636-4021

Other identifiers 1

IdentifierTypeStateIssuer
59002OtherARCHIROPRACTOR

Other names 1

  • Hines Chiropractic & Rehabilitation Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060707000233 AR Part B Supplier - Clinic/Group Practice 4284646456 Receives reassigned benefits from 1 practitioner
Practice locations: Rogers, AR

National Provider Directory

National Provider Directory

Locations

305 N 24th St
Rogers, AR 72756
Phone (479) 636-3021

205 N 24th St
Rogers, AR 72756
Phone (479) 636-4021

Practitioners & affiliated clinicians

Practitioners 1

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": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1821040726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 609",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727570609",
            "telephone_number": "479-636-4021",
            "fax_number": "479-636-4023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 N 24TH ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727563294",
            "telephone_number": "479-636-4021",
            "fax_number": "479-636-4023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOE HINES CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "HINES",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWENER",
        "authorized_official_telephone_number": "479-636-4021",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C,"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "1095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTOR",
            "identifier": "59002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hines Chiropractic & Rehabilitation Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rogers, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.