Active NPI
John Martin Hosten, DC
- Sports Physician Chiropractor
- Green Bay, WI
National Provider Identifier
1861464638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 5347-12
- Practice address
- 721 Cardinal LN Ste 100
Green Bay, WI 54313-3216 - Phone
- (920) 434-2221
- Fax
- (920) 434-2483
- NPI assigned
- Feb 6, 2006
- Last updated
- Jun 4, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038010367 | IL | |
| Sports Physician Chiropractor | 111NS0005X | 5347-12 | WI | Primary |
Addresses
Primary practice location
721 Cardinal LN Ste 100
Green Bay, WI 54313-3216
Mailing address
721 Cardinal LN Ste 100
Green Bay, WI 54313-3216
Phone (920) 434-2221
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 038020367 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038010367 | IL | MD | Chiropractor |
| 5347-12 | WI | MD | Sports Physician Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bannockburn Chiropractic & Sports Injury Center PC | Chiropractor | Current | Accepting new patients |
| Howard Chiropractic Clinic, S.C. | Current | Accepting new patients | |
| Borre Chiropractic, LTD. | Chiropractor | Past | Accepting new patients |
| Employment Health Services, LLC | Past | Accepting new patients |
Locations
2101 Waukegan Rd
Ste 100
Bannockburn, IL 60015
Phone (847) 236-1194
721 Cardinal Ln
Ste 100
Green Bay, WI 54313
Phone (920) 434-2221
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Bannockburn, IL
- NPI 1134420011
-
- Orthopedic Chiropractor
- Green Bay, WI
- NPI 1831363431
-
- Clinical Medical Laboratory
- Green Bay, WI
- NPI 1811203367
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717459200000",
"number": "1861464638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "721 CARDINAL LN STE 100",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543133216",
"telephone_number": "920-434-2221",
"fax_number": "920-434-2483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "721 CARDINAL LN STE 100",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543133216",
"telephone_number": "920-434-2221",
"fax_number": "920-434-2483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOSTEN",
"first_name": "JOHN",
"middle_name": "MARTIN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-06",
"last_updated": "2024-06-04",
"certification_date": "2024-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038010367",
"primary": false
},
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "WI",
"license": "5347-12",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "038020367",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Green Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; 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.