Organization Active NPI

Hinderman Chiropractic Inc.

  • Clinic/Center
  • Dubuque, IA
National Provider Identifier
1821278631
Registry record updated Nov 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
06886 Issued in IA
Legal business name
HINDERMAN CHIROPRACTIC INC.
Practice address
998 Fremont Ave
Ste. L1
Dubuque, IA 52003-0300
Phone
(563) 556-6921
Fax
(563) 556-6923
NPI assigned
Nov 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2007

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

Authorized official

Name
Dr. Jack Daniel Hinderman, DCNPI 1053363077
Title
Chiropractor
Phone
(563) 556-6921

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
Clinic/Center 261Q00000X 06886 IA Primary

Addresses

Primary practice location

998 Fremont Ave
Ste. L1
Dubuque, IA 52003-0300

Mailing address

998 Fremont Ave
Ste. L1
Dubuque, IA 52003-0300
Phone (563) 556-6921

Other names 1

  • Family First Chiropractic and Wellness Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080306000157 IA Part B Supplier - Clinic/Group Practice 4981789559 Receives reassigned benefits from 2 practitioners
Practice locations: Dubuque, IA

National Provider Directory

National Provider Directory

Locations

998 Fremont Ave
Ste L1
Dubuque, IA 52003
Phone (563) 556-6921

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": "1194480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194480000000",
    "number": "1821278631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "998 FREMONT AVE",
            "address_2": "STE. L1",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520030300",
            "telephone_number": "563-556-6921",
            "fax_number": "563-556-6923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "998 FREMONT AVE",
            "address_2": "STE. L1",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520030300",
            "telephone_number": "563-556-6921",
            "fax_number": "563-556-6923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HINDERMAN CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-08",
        "last_updated": "2007-11-08",
        "status": "A",
        "authorized_official_last_name": "HINDERMAN",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "563-556-6921",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IA",
            "license": "06886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family First Chiropractic and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dubuque, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.