Active NPI
Gary Dean Hodge, D.C.
- Chiropractor
- Bellingham, WA
National Provider Identifier
1851450985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00002706
- Practice address
- 4097 James Street Rd
Bellingham, WA 98226-7736 - Phone
- (360) 398-1988
- Fax
- (360) 671-6877
- NPI assigned
- Dec 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH00002706 | WA | Primary |
Addresses
Primary practice location
4097 James Street Rd
Bellingham, WA 98226-7736
Mailing address
4097 James Street Rd
Bellingham, WA 98226-7736
Phone (360) 398-1988
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13976 | Other | WA | MEDE |
| 00449 | Other | WA | REGENCE |
| 0152617 | Other | WA | DEPARTMENT OF L & I |
| 81360 | Other | WA | DEPARTMENT OF L & I |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Western States College of Chiropractic, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4097 James St
Bellingham, WA 98226-7736
4097 James St Rd
Bellingham, WA 98226-7736
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH00002706 | WA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Whatcom Chiropractic Center PS | Chiropractor | Current | Accepting new patients |
Locations
4097 James St
Bellingham, WA 98226
Phone (360) 398-1988
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Bellingham, WA
- NPI 1669775961
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1851450985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4097 JAMES STREET RD",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982267736",
"telephone_number": "360-398-1988",
"fax_number": "360-671-6877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4097 JAMES STREET RD",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982267736",
"telephone_number": "360-398-1988",
"fax_number": "360-671-6877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HODGE",
"first_name": "GARY",
"middle_name": "DEAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00002706",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDE",
"identifier": "13976",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE",
"identifier": "00449",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTMENT OF L & I",
"identifier": "0152617",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTMENT OF L & I",
"identifier": "81360",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bellingham, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.