Individual provider Active NPI

Jonathan A Hull, DC

  • Chiropractor
  • Indianapolis, IN
National Provider Identifier
1861420531
Registry record updated Jan 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08001624 Issued in IN
Practice address
6443 W 10TH St
Suite 102
Indianapolis, IN 46214-6501
Phone
(317) 243-2392
Fax
(317) 244-2032
NPI assigned
Jun 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08001624 IN Primary

Addresses

Primary practice location

6443 W 10TH St
Suite 102
Indianapolis, IN 46214-6501

Mailing address

2474 Heathermoor Park Dr N
Westfield, IN 46074-8233
Phone (317) 243-2392

Other identifiers 4

IdentifierTypeStateIssuer
000000093755OtherINANTHEM BC BS
350049570OtherINRAILROAD MEDICARE
200071230AMedicaidIN
352090464OtherINHUMANA/CHOICE CARE NTWK

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080702000579 IN Practitioner - Chiropractic 2961574124 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1995
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

101 N Girls School Rd
Indianapolis, IN 46214-3963
Phone (317) 243-2392

101 N Girls School Rd
Indianapolis, IN 46214-3979

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08001624INMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Hull Chiropractic Inc Chiropractor CurrentSince Mar 20, 2000 Accepting new patients

Locations

101 N Girls School Rd
Indianapolis, IN 46214
Phone (317) 243-2392

6443 W 10th St
Ste 102
Indianapolis, IN 46214
Phone (317) 243-2392

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.

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231977600000",
    "number": "1861420531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2474 HEATHERMOOR PARK DR N",
            "city": "WESTFIELD",
            "state": "IN",
            "postal_code": "460748233",
            "telephone_number": "317-243-2392",
            "fax_number": "317-244-2032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6443 W 10TH ST",
            "address_2": "SUITE 102",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462146501",
            "telephone_number": "317-243-2392",
            "fax_number": "317-244-2032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULL",
        "first_name": "JONATHAN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2009-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC BS",
            "identifier": "000000093755",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "350049570",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200071230A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA/CHOICE CARE NTWK",
            "identifier": "352090464",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2009; 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.

Verify at the official NPI Registry.