Douglas L Hebert, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301006989 Issued in MI

Practice address

3722 S Straits Hwy
Indian River, MI 49749-1028

Phone

(231) 238-7337

Fax

(231) 238-9177

NPI assigned

Jul 11, 2006

Last updated

Feb 13, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360713600000",
    "number": "1861426900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1028",
            "city": "INDIAN RIVER",
            "state": "MI",
            "postal_code": "497491028",
            "telephone_number": "231-238-7337",
            "fax_number": "231-238-9177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3722 S STRAITS HWY",
            "city": "INDIAN RIVER",
            "state": "MI",
            "postal_code": "497491028",
            "telephone_number": "231-238-7337",
            "fax_number": "231-238-9177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEBERT",
        "first_name": "DOUGLAS",
        "middle_name": "L",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2013-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301006989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3084013",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kamron James Green
• Nolan Jay Griffin, A.T.C
• Kathryn Morley Guild, D.D.S.
• Tom Douglas Hardy, DDS
• Katheleen Joan Hart, LLPC
• Julie A Hodson, N.P.
• Dana J Hollenbeck, D.D.S.
• Suzanne C Howard, PT
• Marissa Huffman
• Kala June Hutchinson, LPC, CAADC

• Chiropractor in Indian River, MI
• Providers in Indian River, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2013; 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.